=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750249850
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATLANTA WOMEN'S HEALTH GROUP, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2026
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3905 BROOKSIDE PKWY STE 102
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30022-4457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 470-394-2657
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5780 PEACHTREE DUNWOODY RD STE 300
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30342-1513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-303-8035
-----------------------------------------------------
Fax | 404-303-8035
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT AND CEO
-----------------------------------------------------
Name | DR. GENEVIEVE FAIRBROTHER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 678-891-6541
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------