Active NPI
Azalea Women'S Healthcare, PA
- Obstetrics & Gynecology Physician
- Tallahassee, FL
National Provider Identifier
1952321457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- AZALEA WOMEN'S HEALTHCARE, PA
- Practice address
- 1219 Hodges Dr
Tallahassee, FL 32308-4611 - Phone
- (850) 877-5767
- Fax
- (850) 877-5055
- NPI assigned
- Jul 20, 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
- Dr. Adrienne Philomenia George, M.D.
- Title
- President/Owner
- Phone
- (850) 877-5767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | FL | Primary |
Addresses
Primary practice location
1219 Hodges Dr
Tallahassee, FL 32308-4611
Mailing address
1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone (850) 877-5767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002753400 | Medicaid | FL | |
| 94879 | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1020 E Lafayette St
Ste 210
Tallahassee, FL 32301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1952321457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 HODGES DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084611",
"telephone_number": "850-877-5767",
"fax_number": "850-877-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 HODGES DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084611",
"telephone_number": "850-877-5767",
"fax_number": "850-877-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZALEA WOMEN'S HEALTHCARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "PHILOMENIA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "850-877-5767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002753400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "94879",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.