| NPI | 1306901467 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-27 |
| Last Updated | 2024-05-17 |
| Mailing Address | 300 Glynn Street South Fayetteville, GA 30214 United States Phone: (770) 629-2702 | Fax: (770) 176-9282 📍 View Map |
| Primary Practice Address | 300 Glynn Street South Fayetteville, GA 30214 United States Phone: (770) 629-2702 | Fax: (770) 909-5004 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 547811054A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207V00000X – Obstetrics & Gynecology | GA | 054127 |
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About NPI 1306901467
Tracey Lynn St. Julian MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306901467. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Fayetteville, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306901467?
NPI 1306901467 belongs to Tracey Lynn St. Julian MD, a Obstetrics & Gynecology in Fayetteville, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306901467 active?
The current status of NPI 1306901467 in the NPPES registry is Active. The record was last updated on 2024-05-17.
What specialty is NPI 1306901467?
NPI 1306901467 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306901467?
You can verify NPI 1306901467 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306901467?
The primary practice address on file for NPI 1306901467 is 300 Glynn Street South, Fayetteville, GA 30214. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306901467 issued?
NPI 1306901467 was first issued (enumerated) on 2006-12-27. The NPPES record was last updated on 2024-05-17.
Practice Location Map
Tracey Lynn St. Julian is located at 300 Glynn Street South, Fayetteville, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tracey Lynn St. Julian. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1306901467. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology | 054127 | GA |