Organization Active NPI

Azalea Women'S Healthcare, PA

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1952321457
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Apr 12, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002753400MedicaidFL
94879OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.