LIFE CYCLE OBGYN, LLC (NPI# 1467664276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467664276 |
| Entity Type | Organization |
| Organization Name | LIFE CYCLE OBGYN, LLC |
| Practice Address |
2739 Felton Dr East Point GA 30344-3603 |
| Practice Telephone | 4047668371 |
| Mailing Telephone | 4047668371 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | ANNE SIGOUIN (PRACTICE MANAGER) |
| Authorized Official Telephone | 4047668371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
053504 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 547811054A | 05 | |
| GA | 00894396A | 05 | |
| GA | 235663182A | 05 |
| Street Address |
2739 FELTON DR |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526539 | E. Dorsey Norwood | Pediatrics | 2739 Felton Dr, East Point, GA 30344-3603 | 2006-04-10 |
| 1124524814 | Kimloan Thi Nguyen | Nurse Practitioner | 2739 Felton Dr, East Point, GA 30344-3603 | 2018-04-02 |
| 1154720860 | Carrie Allen | Nurse Practitioner | 2739 Felton Dr, East Point, GA 30344-3603 | 2014-08-19 |
| 1831508852 | Rachel Elise Preston | Nurse Practitioner | 2739 Felton Dr, East Point, GA 30344-3603 | 2014-08-04 |
| 1154745545 | Sheena Rene Gonzalez | Nurse Practitioner | 2739 Felton Dr, East Point, GA 30344-3603 | 2014-02-06 |
| 1144517244 | Ruth Neeman | Nurse Practitioner | 2739 Felton Dr, East Point, GA 30344-3603 | 2011-07-09 |
| 1538491717 | Jamie Davis Primosch | Physician Assistant | 2739 Felton Dr, East Point, GA 30344-3603 | 2010-02-12 |
| 1134331952 | Life Cycle Pediatrics, LLC | Pediatrics | 2739 Felton Dr, East Point, GA 30344-3603 | 2007-05-04 |
| 1659433050 | Jill Amanda Cranford | Nurse Practitioner | 2739 Felton Dr, East Point, GA 30344-3603 | 2006-12-14 |
| 1629153689 | Debra Elaine Jordan | Obstetrics & Gynecology | 2739 Felton Dr, East Point, GA 30344-3603 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207881 | Precious L Braswell | Obstetrics & Gynecology | 2885 Headland Dr, East Point, GA 30344-6652 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757907 | Atlanta Midtown Gynecology 2 LLC | Obstetrics & Gynecology | 842 N Highland Ave Ne Ste 250, Atlanta, GA 30306-4514 | 2018-07-19 |
| 1922481522 | Anna Carter | Obstetrics & Gynecology | 1700 Tree Ln Ste 290, Snellville, GA 30078-6748 | 2015-07-01 |
| 1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
| 1427303411 | Cynthia C Mercer Md PC | Obstetrics & Gynecology | 77 Weaver Rd Ste A, Blairsville, GA 30512-3136 | 2012-07-17 |
| 1972892388 | John Yongseung Lee | Obstetrics & Gynecology | 1325 Satellite Blvd Nw Bldg 700, Suwanee, GA 30024-4651 | 2011-04-06 |
| 1427235597 | Khadeja Haye | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr, Atlanta, GA 30303 | 2008-01-30 |
| 1215111992 | Milledgeville Family Practice Center P.C. | Obstetrics & Gynecology | 540 W Thomas St Ste B, Milledgeville, GA 31061-2745 | 2007-12-18 |
| 1992984686 | Michael E Lynch Sr Md PC | Obstetrics & Gynecology | 230 W College St Ste A, Griffin, GA 30224-4249 | 2007-10-30 |
| 1770644650 | Robert H Weinfeld | Obstetrics & Gynecology | Dwight D. Eisenhower Army Medical Center, Bldg 300 Hospital Way, Ft. Gordon, GA 30905 | 2006-12-13 |
| 1073698197 | James D Woods | Obstetrics & Gynecology | 401 S Madison St, Albany, GA 31701-3111 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on LIFE CYCLE OBGYN, LLC.
| 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.