Organization Active NPI

Atlanta Center of Women's Choice

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1811486905
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
51987 Issued in GA
Legal business name
ATLANTA CENTER OF WOMEN'S CHOICE
Practice address
1874 Piedmont Ave NE Ste 580E
Atlanta, GA 30324-4975
Phone
(404) 602-4495
Fax
(404) 607-1745
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Fran Bolden
Title
Credentialing Consultant
Phone
(256) 325-0896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 51987 GA Primary

Addresses

Primary practice location

1874 Piedmont Ave NE Ste 580E
Atlanta, GA 30324-4975

Mailing address

1874 Piedmont Ave NE Ste 580E
Atlanta, GA 30324-4975
Phone (404) 602-4495

Other identifiers 1

IdentifierTypeStateIssuer
000982176EMedicaidGA

National Provider Directory

National Provider Directory

Locations

1874 Piedmont Ave NE
Ste 580E
Atlanta, GA 30324
Phone (404) 602-4495

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1811486905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE STE 580E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244975",
            "telephone_number": "404-602-4495",
            "fax_number": "404-607-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT AVE NE STE 580E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244975",
            "telephone_number": "404-602-4495",
            "fax_number": "404-607-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CENTER OF WOMEN'S CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
        "authorized_official_telephone_number": "256-325-0896"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "51987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000982176E",
            "state": "GA"
        }
    ],
    "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 May 4, 2018; 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.