Organization Active NPI

Atlanta Women's Medical Ctr., Inc

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1689728685
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
55417 Issued in GA
Legal business name
ATLANTA WOMEN'S MEDICAL CTR., INC
Practice address
3890 Redwine Rd SW
Suite 210
Atlanta, GA 30331-5509
Phone
(404) 346-3417
Fax
(404) 346-3418
NPI assigned
Jan 23, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Dara Paul, M.D.NPI 1588659908
Title
President
Phone
(404) 346-3417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 55417 GA Primary

Addresses

Primary practice location

3890 Redwine Rd SW
Suite 210
Atlanta, GA 30331-5509

Mailing address

3890 Redwine Rd SW
Suite 210
Atlanta, GA 30331-5509
Phone (404) 346-3417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1689728685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-346-3417",
            "fax_number": "404-346-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-346-3417",
            "fax_number": "404-346-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA WOMEN'S MEDICAL CTR., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-346-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "55417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.