LIFE CYCLE OB/GYN, LLC (NPI# 1457866535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457866535 |
Entity Type | Organization |
Organization Name | LIFE CYCLE OB/GYN, LLC |
Practice Address |
428 Winn Ct Decatur GA 30030-1726 |
Mailing Address |
2739 Felton Dr East Point GA 30344-3603 |
Practice Telephone | 4047668371 |
Mailing Telephone | 4047668371 |
Mailing Fax Number | 4047673926 |
Enumeration Date | 2017-12-11 |
Last Update Date | 2017-12-11 |
Authorized Official Name | ANNE SIREY SIGOUIN (PRACTICE MANAGER) |
Authorized Official Telephone | 4044054543 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 300035567E | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144496605 | Life Cycle Ob/gyn, LLC | Obstetrics & Gynecology | 107b Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | 2008-05-05 |
1104197797 | Life Cycle Ob/gyn, LLC | Obstetrics & Gynecology | 3886 Princeton Lakes Way Sw, Suite 160, Atlanta, GA 30331-5511 | 2012-01-13 |
1265702385 | Life Cycle Ob/gyn, LLC | Obstetrics & Gynecology | 4720 Jonesboro Rd, Suite 11, Union City, GA 30291-1994 | 2012-01-05 |
Street Address |
428 WINN CT |
City | DECATUR |
State | GA |
Zip Code | 30030-1726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063426526 | Robert Kevin Harrell | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-07-28 |
1932521481 | Ximena Zornosa | Dentist | 428 Winn Ct, Decatur, GA 30030-1726 | 2014-01-16 |
1962669093 | Vpg 1, LLC | Podiatrist | 428 Winn Ct, Decatur, GA 30030-1726 | 2008-05-16 |
1497888499 | Pathology Lab of Georgia, LLC | Clinical Medical Laboratory | 428 Winn Ct, Decatur, GA 30030-1726 | 2007-03-13 |
1922197813 | Village Podiatry Group, P.C. | Podiatrist | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-10-11 |
1780789297 | Jo Marie Lyons | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-09-13 |
1225130800 | Emerson E Harrison | Urology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
1386038214 | Elise Rebecca Clem | Obstetrics & Gynecology | 1874 Beltline Rd Sw Ste 105, Decatur, AL 35601-5514 | 2015-03-28 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1336408830 | Mishanta Reyes | Obstetrics & Gynecology | 1215 7th St Se Fl 2, Decatur, AL 35601 | 2012-05-04 |
1295027753 | Georgia Center for Female Health LLC | Obstetrics & Gynecology | 3660 Flat Shoals Pkwy Ste 180, Decatur, GA 30034-1632 | 2011-05-03 |
1316258056 | Sarah E. Winter | Obstetrics & Gynecology | 544 W Pershing Rd Ste 200, Decatur, IL 62526 | 2010-06-28 |
1790916591 | Philip C Lynch | Obstetrics & Gynecology | 867 W Harper Ave, Decatur, IL 62526-3918 | 2009-07-28 |
1972744084 | Decatur General Hospital | Obstetrics & Gynecology | 1107 14th Avenue Se, Suite 320, Decatur, AL 35601 | 2009-03-19 |
1255583324 | Decatur General Hospital | Obstetrics & Gynecology | 1202 13th Aveneue Se, Decatur, AL 35601 | 2008-10-21 |
1851559983 | Amy Marie Rodatus | Obstetrics & Gynecology | 2801 N Decatur Rd Ste 190, Decatur, GA 30033-5924 | 2008-05-27 |
Find all providers in DECATUR |
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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.