Organization Active NPI

Southeastern Gynecologic Oncology at Saint Joseph's, LLC

  • Gynecologic Oncology Physician
  • Atlanta, GA
National Provider Identifier
1750663118
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
SOUTHEASTERN GYNECOLOGIC ONCOLOGY AT SAINT JOSEPH'S, LLC
Practice address
980 Johnson Ferry Rd NE
Suite 900
Atlanta, GA 30342-1609
Phone
(678) 420-4100
Fax
(678) 420-4111
NPI assigned
Sep 12, 2011
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mr. Ronald D Reed
Title
President
Phone
(678) 843-6409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X Primary
Urology Physician 208800000X

Addresses

Primary practice location

980 Johnson Ferry Rd NE
Suite 900
Atlanta, GA 30342-1609

Mailing address

980 Johnson Ferry Road,
Suite 900
Atlanta, GA 30342-1609
Phone (678) 420-4100

National Provider Directory

National Provider Directory

Locations

1505 Northside Blvd
Ste 4700B
Cumming, GA 30041
Phone (678) 420-4100

484 Irvin Ct
Ste 240
Decatur, GA 30030
Phone (229) 391-3500

340 Kennestone Hospital Blvd
Ste 150
Marietta, GA 30060
Phone (678) 420-4251

116 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone 7709073570 ext. 4305

5673 Ptree Dunwoody Rd NE
Ste 350
Sandy Springs, GA 30342

Practitioners & affiliated clinicians

Practitioners 4

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": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1750663118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY ROAD,",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421609",
            "telephone_number": "678-420-4100",
            "fax_number": "678-420-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD NE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421609",
            "telephone_number": "678-420-4100",
            "fax_number": "678-420-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN GYNECOLOGIC ONCOLOGY AT SAINT JOSEPH'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-843-6409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 3, 2012; 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.