WOMENS SPECIALTY CENTER OF NORTH GEORGIA (NPI# 1225253842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225253842 |
| Entity Type | Organization |
| Organization Name | WOMENS SPECIALTY CENTER OF NORTH GEORGIA |
| Practice Address |
220 J L White Dr Suite 120 Jasper GA 30143-4893 |
| Practice Telephone | 7066923539 |
| Practice Fax Number | 7066929364 |
| Mailing Telephone | 7066923539 |
| Mailing Fax Number | 7066929364 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VINCENT G MOLINARI (OWNER) |
| Authorized Official Telephone | 7066923539 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VH0002X |
Obstetrics & Gynecology Specialization: Hospice and Palliative Medicine |
053200 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00221592G | 05 |
| Street Address |
220 J L WHITE DR SUITE 120 |
| City | JASPER |
| State | GA |
| Zip Code | 30143-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265838 | Walter Kenneth Austin Jr. | Internal Medicine | 220 J L White Dr, Suite 100, Jasper, GA 30143-4893 | 2005-06-14 |
| 1336542943 | Kellie Pack | Nurse Practitioner | 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 | 2014-09-27 |
| 1639466287 | Tansy Ridings | Physician Assistant | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2011-07-05 |
| 1386885069 | Jason Fleury | Physician Assistant | 220 J L White Dr, Suite 100, Jasper, GA 30143-4893 | 2009-03-10 |
| 1457517146 | Wanda Denise Correia | Nurse Practitioner | 220 J L White Dr, Suite 110, Jasper, GA 30143-4894 | 2008-08-01 |
| 1528267705 | Kawami R. Clay | Legal Medicine | 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 | 2007-07-17 |
| 1972701936 | Mark Andrew Supan | Obstetrics & Gynecology | 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 | 2007-07-10 |
| 1235354424 | Georgia Urology Pa | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2007-04-15 |
| 1962572875 | Sara L Williams | Nurse Practitioner | 220 J L White Dr, Suite 100, Jasper, GA 30143-4893 | 2006-11-08 |
| 1588759336 | Cardiac Disease Specialists, PC | Internal Medicine | 220 J L White Dr, Ste 100, Jasper, GA 30143-4893 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1801397724 | Jema Day | Nurse Practitioner | 620 J L White Dr Ste 140, Jasper, GA 30143 | 2018-02-26 |
| 1023467545 | North Georgia Personal Care LLC | Home Health | 501 North Main St., Suite B, Jasper, GA 30143 | 2016-06-06 |
| 1871979641 | Sj & J Spine and Pain Group Holding LLC | Pain Medicine | 91 Sammy Mcghee Blvd, Suite 101, Jasper, GA 30143 | 2015-08-04 |
| 1801294293 | Highland Recovery Center | Community/Behavioral Health | 323 Roland Road, Jasper, GA 30143 | 2014-12-17 |
| 1770905861 | Leslie Rhea Hanagan | Speech-Language Pathologist | 22 Dogwood Lane, Jaser, GA 30143 | 2014-01-09 |
| 1669800660 | Pickens County Chiropractic | Chiropractor | 95 North Main Street, Jasper, GA 30143 | 2013-10-29 |
| 1407139264 | Rocky Mountain Holdings LLC | Ambulance | 70 Airport Business Court, Jasper, GA 30143 | 2011-09-27 |
| 1851681415 | Richard J Vandam | Internal Medicine | 1266 Highway 515, Piedmont Mountainside Hospital, Jasper, GA 30143 | 2011-04-15 |
| Find all providers in zip 30143 | ||||
| Taxonomy Code | 207VH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Hospice and Palliative Medicine |
| An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195615 | Ronald Edwin Fincher | Obstetrics & Gynecology | 2787 Margaret Mitchell Dr Nw, Atlanta, GA 30327-1852 | 2007-05-21 |
| 1033324629 | Ogeechee Obgyn, P.C. | Obstetrics & Gynecology | 1497 Fair Rd Ste 300, Statesboro, GA 30458-0828 | 2007-05-14 |
| 1912111246 | James L Bean | Obstetrics & Gynecology | 603 W Crossville Rd, Roswell, GA 30075-2507 | 2007-05-09 |
| 1578784955 | Louis Harrison Anderson Jr. | Obstetrics & Gynecology | 1255 Stillwood Dr Ne, Atlanta, GA 30306-2523 | 2007-05-01 |
| 1881066504 | Suresh Persad Md PC | Obstetrics & Gynecology | 361 Commercial Dr, Suite B, Savannah, GA 31406-3659 | 2015-10-21 |
| 1073732145 | Halima Malkia Daboiko | Obstetrics & Gynecology | 750 Town Park Lane, Dept of Ob/gyn, Kennesaw, GA 30144 | 2007-04-25 |
| 1962621995 | Samuel Taylor, M.d. | Obstetrics & Gynecology | 2601 Bemiss Rd, Suite A, Valdosta, GA 31602-1445 | 2007-04-25 |
| 1982828034 | Ann Sheryl Drayton | Obstetrics & Gynecology | 575 Professional Dr, 270, Lawrenceville, GA 30045-3333 | 2007-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.