MEDICARE: FEMINIST WOMEN'S HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208D00000X	General Practice Physician
2	261QA0005X	Ambulatory Family Planning Facility
3	261QA0006X	Ambulatory Fertility Facility
4	261QA1903X	Ambulatory Surgical Clinic/Center
5	261QF0050X	Non-Surgical Family Planning Clinic/Center
6	363LW0102X	Women's Health Nurse Practitioner
7	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51004647001	OTHER	GA	BLUECROSS BLUESHIELD GA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770697104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEMINIST WOMEN'S HEALTH CENTER

Provider Business Mailing Address
First Line	:	1924 CLIFF VALLEY WAY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2421
Country	:	US
Telephone Number	:	404-728-7900
Fax Number	:	404-728-7907

Provider Business Practice Location Address
First Line	:	1924 CLIFF VALLEY WAY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2421
Country	:	US
Telephone Number	:	404-728-7900
Fax Number	:	404-728-7907

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KWAJELYN JACKSON
Credential	:
Telephone Number	:	404-248-5452

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	04/26/2019

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Directions to “FEMINIST WOMEN'S HEALTH CENTER ” Practice Location

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