Centro Prenatal de Georgia

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038785 Issued in GA

Legal business name

CENTRO PRENATAL DE GEORGIA

Practice address

4990 Phillips Dr
Forest Park, GA 30297-1472

Phone

(404) 608-7449

Fax

(404) 608-7451

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Rosalba Gomez

Title

Office Manager

Phone

(404) 608-7449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1740686609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 PHILLIPS DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 PHILLIPS DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971472",
            "telephone_number": "404-608-7449",
            "fax_number": "404-608-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PRENATAL DE GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-608-7449"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "038785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring for All
• Caring for All Healthcare Services
• Jana R Casey, NON MEDICAL PROVIDER
• Centro de Salud Familiar II , LLC
• Centro Prenatal de Georgia
• John Michael Chafin I
• Curtis L Champion, MD
• Chimed Fic Sa LLC
• Chimed Rehab South Atlanta, LLC
• Chimedical Diagnostics, LLC

• Medical Specialty Clinic/Center in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.