Signature Women'S Healthcare of Georgia, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SIGNATURE WOMEN'S HEALTHCARE OF GEORGIA, LLC

Practice address

5900 Hillandale Dr Ste 245
Lithonia, GA 30058-6801

Phone

(770) 323-9300

Fax

(678) 395-2023

NPI assigned

Sep 13, 2021

Organization subpart

Yes

Parent organization

ATLANTA WOMEN'S HEALTH GROUP, P.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Zane, MD

Title

Ceo

Phone

(404) 303-8035

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlanta Women's Health Group, PC Doing business as

Part of

Stephen Ayres MD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1689343550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421513",
            "telephone_number": "404-303-8035",
            "fax_number": "404-303-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR STE 245",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586801",
            "telephone_number": "770-323-9300",
            "fax_number": "678-395-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE WOMEN'S HEALTHCARE OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA WOMEN'S HEALTH GROUP, P.C.",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "ZANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-303-8035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034164A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Women's Health Group, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Gustave Shoumou, MD
• Shanise Showell
• Sanju Shrestha
• Veronda Trylac Shuman Mack, CERTIFIED HAIR LOSS
• Shyne Counseling and Consulting, LLC
• Silvercrest Personal Care Home, Inc
• Cameron Imani Simon, SLP-ASSISTANT
• Louenda Simon, LPTA
• Simply Queens Inc
• Simply Stated SLP Services, LLC

• Obstetrics & Gynecology Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.