Organization Active NPI

Legacy Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1780854257
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
022081 Issued in GA
Legal business name
LEGACY OBSTETRICS AND GYNECOLOGY
Practice address
4166 Snapfinger Woods Dr
Decatur, GA 30035-3411
Phone
(404) 288-0746
Fax
(404) 288-0925
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Andre Damien Williams, M.D.NPI 1356338297
Title
Ceo
Phone
(404) 288-0746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 022081 GA Primary

Addresses

Primary practice location

4166 Snapfinger Woods Dr
Decatur, GA 30035-3411

Mailing address

4166 Snapfinger Woods Dr
Decatur, GA 30035-3411
Phone (404) 288-0746

National Provider Directory

National Provider Directory

Locations

4166 Snapfinger Woods Dr
Decatur, GA 30035
Phone (404) 284-3200

Practitioners & affiliated clinicians

Practitioners 2

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1780854257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353411",
            "telephone_number": "404-288-0746",
            "fax_number": "404-288-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353411",
            "telephone_number": "404-288-0746",
            "fax_number": "404-288-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "DAMIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-288-0746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "022081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.