North Park OB-GYN Associated 2, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTH PARK OB-GYN ASSOCIATED 2, LLC

Practice address

2051 Hamill Rd Ste 400
Hixson, TN 37343-4653

Phone

(423) 877-4549

Fax

(423) 875-8510

NPI assigned

Jan 2, 2018

Last updated

Jan 2, 2018By 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

Shelley Depp

Title

Payer Relations Liaison

Phone

(770) 579-2626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1831606714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329",
            "telephone_number": "404-943-0205",
            "fax_number": "404-943-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD STE 400",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "423-877-4549",
            "fax_number": "423-875-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK OB-GYN ASSOCIATED 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "DEPP",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PAYER RELATIONS LIAISON",
        "authorized_official_telephone_number": "770-579-2626"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovenae Michelle Newson
• Giang T Nguyen, DPM
• Katie Marie Nichols, PT, DPT
• John A Nolan, PA
• North Park Eye Center P C
• North Park OB/GYN Assoc, PC
• North Park Optical Center
• North River Chiropractic
• North River Endodontics, PLLC
• North River Oncology and Hematology, PC

• Obstetrics & Gynecology Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.