Organization Active NPI

Women'S Healthcare Specialist of Athens LLC

  • Obstetrics & Gynecology Physician
  • Athens, GA
National Provider Identifier
1831418227
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S HEALTHCARE SPECIALIST OF ATHENS LLC
Practice address
965 Hawthorne Ave
Suite 100a
Athens, GA 30606-2139
Phone
(706) 369-1200
Fax
(706) 369-0540
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mr. Joel Petty
Title
President
Phone
(706) 369-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

965 Hawthorne Ave
Suite 100a
Athens, GA 30606-2139

Mailing address

965 Hawthorne Ave
Suite 100a
Athens, GA 30606-2139
Phone (706) 369-1200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1831418227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 HAWTHORNE AVE",
            "address_2": "SUITE 100A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062139",
            "telephone_number": "706-369-1200",
            "fax_number": "706-369-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HAWTHORNE AVE",
            "address_2": "SUITE 100A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062139",
            "telephone_number": "706-369-1200",
            "fax_number": "706-369-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE SPECIALIST OF ATHENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-369-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.