Organization Active NPI

Georgia Women'S Care, PC

  • Gynecology Physician
  • Watkinsville, GA
National Provider Identifier
1821203902
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
37738 Issued in GA
Legal business name
GEORGIA WOMEN'S CARE, PC
Practice address
2 S Main St
Suite 206
Watkinsville, GA 30677-7101
Phone
(706) 769-5757
Fax
(706) 769-5780
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Gregory P Zengo, MDNPI 1982793154
Title
President
Phone
(706) 769-5757

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 37738 GA Primary

Addresses

Primary practice location

2 S Main St
Suite 206
Watkinsville, GA 30677-7101

Mailing address

2 S Main St
Suite 206
Watkinsville, GA 30677-7101
Phone (706) 769-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000140 GA Part B Supplier - Clinic/Group Practice 4183788474 Receives reassigned benefits from 1 practitioner
Practice locations: Watkinsville, GA

National Provider Directory

National Provider Directory

Locations

72 Advocate Dr
Royston, GA 30662
Phone 70624608003

2 S Main St
Ste 206
Watkinsville, GA 30677
Phone (706) 769-5757

Practitioners & affiliated clinicians

Practitioners 1

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1821203902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777101",
            "telephone_number": "706-769-5757",
            "fax_number": "706-769-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777101",
            "telephone_number": "706-769-5757",
            "fax_number": "706-769-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA WOMEN'S CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "ZENGO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-769-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "37738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.