Organization Active NPI

Women's Care of West Georgia, LLC

  • Obstetrics & Gynecology Physician
  • Villa Rica, GA
National Provider Identifier
1992816052
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
052389 Issued in GA
Legal business name
WOMEN'S CARE OF WEST GEORGIA, LLC
Practice address
403 Permian Way
Suite a
Villa Rica, GA 30180-3252
Phone
(770) 771-5235
Fax
(770) 771-5236
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Eric R Vera, MDNPI 1912971649
Title
President
Phone
(770) 771-5235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 052389 GA Primary

Addresses

Primary practice location

403 Permian Way
Suite a
Villa Rica, GA 30180-3252

Mailing address

PO Box 1615
Villa Rica, GA 30180-6409
Phone (770) 771-5235

National Provider Directory

National Provider Directory

Locations

705 Dallas Hwy
Ste 205
Villa Rica, GA 30180
Phone (770) 771-5230

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1992816052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806409",
            "telephone_number": "770-771-5235",
            "fax_number": "770-771-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY",
            "address_2": "SUITE A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803252",
            "telephone_number": "770-771-5235",
            "fax_number": "770-771-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CARE OF WEST GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-771-5235",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "052389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 9, 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.