PENIEL WOMENS CENTER (NPI# 1902065717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902065717 |
| Entity Type | Organization |
| Organization Name | PENIEL WOMENS CENTER |
| Practice Address |
5900 Hillandale Dr Ste 325 Lithonia GA 30058-3802 |
| Practice Telephone | 7709814666 |
| Mailing Telephone | 7709814666 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | THADDEUS CHAPMAN (OWNER) |
| Authorized Official Telephone | 7709814666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
GA | Allopathic & Osteopathic Physicians |
| Street Address |
5900 HILLANDALE DR STE 325 |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232103 | Jada Ea Moore-ruffin | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2005-11-17 |
| 1255862447 | Letitia Hoffmann | Nurse Practitioner | 5900 Hillandale Dr, Ste 215, Lithonia, GA 30058-3858 | 2017-03-21 |
| 1285031849 | Penelope Marshall Mccown | Nurse Practitioner | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2014-11-26 |
| 1861781320 | Hillandale Internal Medicine, PC | Internal Medicine | 5900 Hillandale Dr, Annex E, Lithonia, GA 30058-3802 | 2011-04-05 |
| 1043545163 | Karen L Nielson | Nurse Practitioner | 5900 Hillandale Dr, Ste 325, Lithonia, GA 30058-3802 | 2009-10-07 |
| 1912144155 | Saira Tariq Niaz Md PC | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2009-01-09 |
| 1417133893 | Hillandale Primary Care | Family Medicine | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2008-01-15 |
| 1689856981 | Capstone Medical Group | Specialist | 5900 Hillandale Dr, Annex E, Lithonia, GA 30058-3802 | 2007-11-29 |
| 1770764979 | Southpoint Eye Care PC | Optometrist | 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 | 2007-11-16 |
| 1003005000 | The Ross Orthopaedic Wellness Center | Orthopaedic Surgery | 5900 Hillandale Dr, Suite 215, Lithonia, GA 30058-3802 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891864724 | East Atlanta Gynecology Associates PC | Obstetrics & Gynecology | 5900 Hillandale Dr, Suite 255, Lithonia, GA 30058-3802 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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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.