Centro Prenatal de Norcross Corp.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CENTRO PRENATAL DE NORCROSS CORP.

Practice address

5195 Jimmy Carter Blvd Ste 100
Norcross, GA 30093-1649

Phone

(470) 514-5818

Fax

(770) 734-9793

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Rosalba Gomez

Title

Ceo

Phone

(678) 492-8477

Specialties & licenses 1

Addresses

Other names 1

• Centro Prenatal De Georgia Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1780254201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 JIMMY CARTER BLVD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931649",
            "telephone_number": "470-514-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5195 JIMMY CARTER BLVD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931649",
            "telephone_number": "470-514-5818",
            "fax_number": "770-734-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PRENATAL DE NORCROSS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-492-8477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Prenatal De Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Pan Asian Community Services, Inc.
• Center for Rare Neurological Diseases
• Center for Restorative Reproductive Surgery, LLC
• Centro de Salud Familiar Norcross Medical Clinic LLC
• Centro Medico San Antonio LLC
• Janet Chakkalapadavil, OTR/L
• Nicole Desiree Chambers
• Hansen A. Chang, M.D.
• Jenny Chang, ARNP
• Justin Chang, O.D.

• Obstetrics & Gynecology Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.