Organization Active NPI

Clinica Maternal de la Mujer

  • Obstetrics & Gynecology Physician
  • Roswell, GA
National Provider Identifier
1700652575
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CLINICA MATERNAL DE LA MUJER
Practice address
861 Holcomb Bridge Rd Ste 200
Roswell, GA 30076-1900
Phone
(770) 910-9276
Fax
(770) 910-9278
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Martha Gomez
Title
Ceo
Phone
(864) 617-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

861 Holcomb Bridge Rd Ste 200
Roswell, GA 30076-1900

Mailing address

861 Holcomb Bridge Rd Ste 200
Roswell, GA 30076-1900
Phone (770) 910-9276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1700652575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 HOLCOMB BRIDGE RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761900",
            "telephone_number": "770-910-9276",
            "fax_number": "770-910-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HOLCOMB BRIDGE RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761900",
            "telephone_number": "770-910-9276",
            "fax_number": "770-910-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MATERNAL DE LA MUJER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-617-9410"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.