Active NPI
Women'S Healthcare Specialist of Athens LLC
- Obstetrics & Gynecology Physician
- Athens, GA
National Provider Identifier
1831418227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryNPI 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
- Jacob Wolfe, PA
- Montana Carter Wollenhaupt, PA
- Women'S Comp Healthcare Ctr. P.C.
- Women'S Healthcare Associates of Athens, LLC
- Women'S Healthcare Associates, P.C
- Lisa Ann Wommack, OCCUPATIONAL THERAPI
- Erin Gaines Wood, NURSE PRACTITIONER
- Jaimee Wood
- Jennifer Clements Wood, LPC
- Jimmy Haralson Wood Jr., PT
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.