Organization Active NPI

Chattanooga Women'S Specialists PC

  • Obstetrics & Gynecology Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1770770679
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Aug 8, 2019

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GRP429OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.