Organization Active NPI

Elberton Women's Specialist, LLC

  • Gynecology Physician
  • Elberton, GA
National Provider Identifier
1740372598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
024820 Issued in GA
Legal business name
ELBERTON WOMEN'S SPECIALIST, LLC
Practice address
41 Chestnut St
Third Floor
Elberton, GA 30635-1805
Phone
(706) 213-1688
Fax
(706) 213-1690
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Michael Hagins, M.D.NPI 1124079835
Title
Owner
Phone
(706) 213-1688

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
Gynecology Physician 207VG0400X 024820 GA Primary

Addresses

Primary practice location

41 Chestnut St
Third Floor
Elberton, GA 30635-1805

Mailing address

41 Chestnut St
Third Floor
Elberton, GA 30635-1805
Phone (706) 213-1688

National Provider Directory

National Provider Directory

Locations

41 Chestnut St
Fl Third
Elberton, GA 30635
Phone (706) 213-1688

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740372598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CHESTNUT ST",
            "address_2": "THIRD FLOOR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351805",
            "telephone_number": "706-213-1688",
            "fax_number": "706-213-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CHESTNUT ST",
            "address_2": "THIRD FLOOR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351805",
            "telephone_number": "706-213-1688",
            "fax_number": "706-213-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBERTON WOMEN'S SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-213-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "024820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.