Organization Active NPI

TMC Tanner Gynecology Inc

Doing business as Villa Rica Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Villa Rica, GA
National Provider Identifier
1992710750
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TMC TANNER GYNECOLOGY INC
Doing business as
Villa Rica Obstetrics and Gynecology
Practice address
690 Dallas Hwy
Suite 301
Villa Rica, GA 30180-1264
Phone
(770) 456-3850
Fax
(770) 456-3826
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Debbi Macaluso-Peare
Title
Cfo
Phone
(770) 838-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

690 Dallas Hwy
Suite 301
Villa Rica, GA 30180-1264

Mailing address

119 Ambulance Dr
Suite 202
Carrollton, GA 30117-3857

Other names 1

  • Villa Rica Obstetrics and Gynecology Doing business as

National Provider Directory

National Provider Directory

Locations

705 Dallas Hwy
Ste 203A
Villa Rica, GA 30180
Phone (770) 456-3641

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1992710750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR",
            "address_2": "SUITE 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "fax_number": "770-838-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 DALLAS HWY",
            "address_2": "SUITE 301",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801264",
            "telephone_number": "770-456-3850",
            "fax_number": "770-456-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC TANNER GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MACALUSO-PEARE",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-838-8554"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Rica Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.