Active NPI
Women'S Health Group SE Ga
- Obstetrics & Gynecology Physician
- Brunswick, GA
National Provider Identifier
1871600486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMEN'S HEALTH GROUP SE GA
- Practice address
- 418 Eh Court Unit 4B
Brunswick, GA 31520 - Phone
- (912) 267-0884
- Fax
- (912) 267-7948
- NPI assigned
- Aug 23, 2006
- 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. Matthew M Johnston, MD
- Title
- Owner
- Phone
- (912) 267-0884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
418 Eh Court Unit 4B
Brunswick, GA 31520
Mailing address
418 Eh Court Unit 4B
Brunswick, GA 31520
Phone (912) 267-0884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031447777A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
418 Eh Ct
#4B
Brunswick, GA 31520
Phone (912) 267-0884
7000 Wellness Way
St Simons Island, GA 31522
Phone (912) 267-0884
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Brunswick, GA
- NPI 1437128485
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1366987844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519257600000",
"number": "1871600486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 EH COURT UNIT 4B",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31520",
"telephone_number": "912-267-0884",
"fax_number": "912-267-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 EH COURT UNIT 4B",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31520",
"telephone_number": "912-267-0884",
"fax_number": "912-267-7948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH GROUP SE GA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2018-02-22",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-267-0884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031447777A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.