Athens North Alabama Womens Health

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

5678 Issued in AL

Legal business name

ATHENS NORTH ALABAMA WOMENS HEALTH

Practice address

1005 W Market St Ste 7
Athens, AL 35611

Phone

(256) 233-1613

Fax

(256) 233-2391

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By 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

Mr. Gary White Gross, MD

Title

Owner

Phone

(256) 233-1613

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891703849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST STE 7",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-233-1613",
            "fax_number": "256-233-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST STE 7",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-233-1613",
            "fax_number": "256-233-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS NORTH ALABAMA WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-233-1613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "5678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02511",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Athens, AL
• Providers in Athens, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.