SERENITY GYNECOLOGY, LLC – NPI #1295360949
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

SERENITY GYNECOLOGY, LLC is a provider located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1295360949 to SERENITY GYNECOLOGY, LLC on March 03, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PREMIER WOMEN'S GYN, LLC. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 2 years ago on Mar 21, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERENITY GYNECOLOGY, LLC below.

NPI Profile for
SERENITY GYNECOLOGY, LLC

NPI Number
1295360949
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERENITY GYNECOLOGY, LLC
Former Legal Business Name: PREMIER WOMEN'S GYN, LLC
Primary location
300 GLYNN STREET SOUTH
FAYETTEVILLE, GA 30214
Phone: (770) 629-2702 Fax: (770) 909-5004
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRACEY ST. JULIAN
PHYSICIAN OWNER
Phone: (770) 629-2702
Updated
Certification Date
Mar 03, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.