The Womens Center PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

049382 Issued in GA

Legal business name

THE WOMENS CENTER PC

Practice address

2750 Owens Rd SW
Suite a
Conyers, GA 30094-3991

Phone

(678) 413-4644

Fax

(678) 413-4624

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie H Gordon, MDNPI 1407849722

Title

Ceo

Phone

(678) 413-4644

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12492/brand/1/csg/1/fhir/r4

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie H Gordon, M.D.

  • Gynecology Physician
  • Conyers, GA
  • NPI 1407849722
  Medicare reassignment Care Compare group NPD Authorized official
• Kia Elon Burch, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Tucker, GA
  • NPI 1407311012
  Medicare reassignment Care Compare group NPD
• Sharon E Hodges, MD

  • Obstetrics & Gynecology Physician
  • Covington, GA
  • NPI 1275513244
  Medicare reassignment Care Compare group NPD
• Nicklaus Trent Rice, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Conyers, GA
  • NPI 1508155268
  Medicare reassignment Care Compare group NPD
• Frances Early, WHNP-BC

  • Women's Health Nurse Practitioner
  • Woodstock, GA
  • NPI 1134908411
  Medicare reassignment NPD
• Avery Louise Elloway, PA-C

  • Medical Physician Assistant
  • Conyers, GA
  • NPI 1194495176
  Medicare reassignment
• Jaydev Bharat Mistry, MD

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
  • NPI 1740717297
  NPD
• Kimberly Brooke Mathis, WHNP-BC

  • Women's Health Nurse Practitioner
  • Stockbridge, GA
  • NPI 1821521477
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1871654624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 OWENS RD SW",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943991",
            "telephone_number": "678-413-4644",
            "fax_number": "678-413-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 OWENS RD SW",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943991",
            "telephone_number": "678-413-4644",
            "fax_number": "678-413-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMENS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-413-4644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "049382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "DB5807",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Resourceful Nurse Concierge Service, LLC
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• The Walk in Clinic LLC
• The Wellness Sanctuary International Corp
• Lindsey Anne Theodore, MD
• Therapeutic Solutions, Inc
• Therapy Center North Inc (Therapy Center East)
• Jaishankar Thirumalai, DMD
• Thomas J McElligott MD PC (East Metro Orthopaedics)

• Gynecology Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.