Active NPI
Chattanooga Women'S Specialists PC
- Obstetrics & Gynecology Physician
- Fort Oglethorpe, GA
National Provider Identifier
1770770679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CHATTANOOGA WOMEN'S SPECIALISTS PC
- Practice address
- 2009 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510 - Phone
- (706) 861-5950
- Fax
- (706) 858-0475
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna W Blaes
- Title
- Office Manager
- Phone
- (706) 861-5950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2009 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510
Mailing address
2009 Old Lafayette Rd
Ft Oglethorpe, GA 30742-3510
Phone (706) 861-5950
Other practice location 1
929 Spring Creek Road
Suite 105
Chattanooga, TN 37412
Phone (423) 892-0576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP429 | Other | GA | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider DirectoryLocations
929 Spring Creek Rd
Chattanooga, TN 37412
Phone (706) 861-5950
929 Spring Creek Rd
Ste 105
East Ridge, TN 37412
Phone (423) 892-0576
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Ft Oglethorpe, GA
- NPI 1467499095
-
- Obstetrics & Gynecology Physician
- Aurora, CO
- NPI 1619965779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565222400000",
"number": "1770770679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 OLD LAFAYETTE RD",
"city": "FT OGLETHORPE",
"state": "GA",
"postal_code": "307423510",
"telephone_number": "706-861-5950",
"fax_number": "706-858-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 OLD LAFAYETTE RD",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307423510",
"telephone_number": "706-861-5950",
"fax_number": "706-858-0475"
}
],
"practiceLocations": [
{
"address_1": "929 Spring Creek Road",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "37412",
"country_code": "US",
"telephone_number": "423-892-0576",
"fax_number": "706-858-0475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHATTANOOGA WOMEN'S SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2019-08-08",
"status": "A",
"authorized_official_last_name": "BLAES",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-861-5950"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "GRP429",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.