Summit Women's Care of Albany PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

058965 Issued in GA

Legal business name

SUMMIT WOMEN'S CARE OF ALBANY PC

Practice address

421 W 4TH Ave
Albany, GA 31701-1973

Phone

(229) 435-0002

Fax

(229) 883-1782

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moon Yun Chung, M.D.NPI 1548246465

Title

Owner Physician

Phone

(229) 435-0002

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Moon Yun Chung, MD

  • Obstetrics & Gynecology Physician
  • Albany, GA
  • NPI 1548246465
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831227677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 4TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011973",
            "telephone_number": "229-435-0002",
            "fax_number": "229-883-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 4TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011973",
            "telephone_number": "229-435-0002",
            "fax_number": "229-883-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WOMEN'S CARE OF ALBANY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MOON",
        "authorized_official_middle_name": "YUN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "229-435-0002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "058965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Sullivan
• Lisa Sullivan, ST
• Dominic Suma, M.D.
• Bradley Wilson Summerell, CRNA
• Cynthia E Summerlin, FNP-C
• Surgical Associates of Albany PC
• Tanza Sutton, LPC
• SW Georgia Pathology Associates
• Travis Jermaine Swain
• Sherrie D Sweet, RD, LD, CLC

• Obstetrics & Gynecology Physician in Albany, GA
• Providers in Albany, 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 Aug 22, 2020; 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.