Organization Active NPI

Northwoods Clinic LLC

  • Surgery Physician
  • Johns Creek, GA
National Provider Identifier
1881830263
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTHWOODS CLINIC LLC
Practice address
11180 State Bridge Rd
Suite 206
Johns Creek, GA 30022-7482
Phone
(770) 667-7600
Fax
(770) 667-7660
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
David H Hayes, M.D.NPI 1881688208
Title
Owner
Phone
(770) 667-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

11180 State Bridge Rd
Suite 206
Johns Creek, GA 30022-7482

Mailing address

11180 State Bridge Rd
Suite 206
Johns Creek, GA 30022-7482
Phone (770) 667-7600

National Provider Directory

National Provider Directory

Locations

11180 State Bridge Rd
Ste 206
Johns Creek, GA 30022
Phone (404) 308-3820

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1881830263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD",
            "address_2": "SUITE 206",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227482",
            "telephone_number": "770-667-7600",
            "fax_number": "770-667-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 STATE BRIDGE RD",
            "address_2": "SUITE 206",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227482",
            "telephone_number": "770-667-7600",
            "fax_number": "770-667-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-667-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.