WOMEN'S COMMUNITY CARE, PC (NPI# 1417167446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417167446 |
| Entity Type | Organization |
| Organization Name | WOMEN'S COMMUNITY CARE, PC |
| Practice Address |
1279 Highway 54 W Suite 220 Fayetteville GA 30214-4550 |
| Practice Telephone | 7709912200 |
| Practice Fax Number | 7709911341 |
| Mailing Telephone | 7709912200 |
| Mailing Fax Number | 7709911341 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELIZABETH W KILLEBREW (PRESIDENT) |
| Authorized Official Telephone | 7709912200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Street Address |
1279 HIGHWAY 54 W SUITE 220 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629062153 | Michlene Broadney | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2005-09-12 |
| 1447707427 | Tracy Dudley | Nurse Practitioner | 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 | 2016-09-07 |
| 1902267123 | Marjani Jean-philippe | Advanced Practice Midwife | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2016-03-16 |
| 1922382274 | Jakki Nicole Robinson | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4550 | 2011-10-05 |
| 1275855504 | Lindsey L Witt | Nurse Practitioner | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2010-03-01 |
| 1093950685 | Georgia Cancer Specialists I PC | Internal Medicine | 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 | 2008-12-10 |
| 1861668337 | Nicole L Sroka | Surgery | 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 | 2008-05-05 |
| 1144491937 | Memorie Morgan Nichols | Physician Assistant | 1279 Highway 54 W, Suite 210, Fayetteville, GA 30214-4550 | 2008-03-19 |
| 1740473735 | Mitzie-ann Davis | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 100, Fayetteville, GA 30214-4550 | 2007-08-22 |
| 1790985653 | Kristie Yancy Dyson | Obstetrics & Gynecology | 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214-4552 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1376689067 | Barbara Attura O'brien | Obstetrics & Gynecology | 123 Kathi Ave, Fayetteville, GA 30214-1691 | 2007-01-29 |
| 1194751164 | Elizabeth Ann Woods | Obstetrics & Gynecology | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2006-06-23 |
| 1508865965 | Fayetteville Women's Clinic | Obstetrics & Gynecology | 1011 N College Ave, Fayetteville, AR 72701-2012 | 2005-07-19 |
| 1396748562 | Gerianne C Geszler | Obstetrics & Gynecology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2005-05-23 |
| 1205449691 | Washington Regional Medical System | Obstetrics & Gynecology | 3561 Johnson Mill Blvd, Suite 102, Fayetteville, AR 72704 | 2020-08-26 |
| 1417964990 | Maryann Elizabeth Millar | Obstetrics & Gynecology | 4117 Medical Center Dr, Pod A, Fayetteville, NY 13066-6600 | 2006-08-01 |
| 1962431460 | Kathleen W Paulson | Obstetrics & Gynecology | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-30 |
| 1881639110 | Georgia Urogynecology, PC | Obstetrics & Gynecology | 1260 Highway 54 W, Fayetteville, GA 30214-4514 | 2006-06-19 |
| 1003856287 | William Dana Haithcock | Obstetrics & Gynecology | 2029 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-06-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on WOMEN'S COMMUNITY CARE, PC.
| 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.