Organization Active NPI

Gainesville Gynecology, LLC

  • Medical Specialty Clinic/Center
  • Gainesville, GA
National Provider Identifier
1699961649
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GAINESVILLE GYNECOLOGY, LLC
Practice address
1206A Sherwood Park Dr NE
Gainesville, GA 30501-3445
Phone
(770) 534-1230
Fax
(770) 534-1205
NPI assigned
Sep 23, 2007
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Wendell A Turner, M.D.NPI 1770663379
Title
Sole Proprietor
Phone
(770) 534-1230

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
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1206A Sherwood Park Dr NE
Gainesville, GA 30501-3445

Mailing address

1206A Sherwood Park Dr NE
Gainesville, GA 30501-3445
Phone (770) 534-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000133 GA Part B Supplier - Clinic/Group Practice 1153408265 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

303 Jesse Jewell Pkwy SE
Ste 320
Gainesville, GA 30501
Phone (770) 534-1230

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": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1699961649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206A SHERWOOD PARK DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013445",
            "telephone_number": "770-534-1230",
            "fax_number": "770-534-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206A SHERWOOD PARK DR NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013445",
            "telephone_number": "770-534-1230",
            "fax_number": "770-534-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "770-534-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.