MOUNTAINS WOMEN'S CENTER
NPI 1053012260
Obstetrics & Gynecology in Marietta, GA

Active since March 14, 2023CLIA 11D2280254 · Waiver
1611 SANDS PLACE, SUITE 100, MARIETTA, GA 30067(678) 944-8042(678) 293-7579 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountains Women's Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINS WOMEN'S CENTER (NPI 1053012260) is a healthcare organization registered as an obstetrics & gynecology in Marietta, Georgia and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Amber Glenn, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1053012260
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMOUNTAINS WOMEN'S CENTER LLC
Location Address1611 SANDS PLACE, SUITE 100Marietta, GA 30067
Mailing Address1611 Sands Place, Suite 100Marietta, GA 30067 · (678) 944-8042 · Fax (678) 293-7579
Fax(678) 293-7579
Organization SubpartNo
Authorized OfficialAmber GlennOwner, Physician · (678) 944-8042
Enumeration DateMarch 14, 2023
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedMarch 14, 2023
NPI 1053012260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
1611 SANDS PLACE, Marietta, GA 30067

Other Names 1

Doing Business AsMountains Women's Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2280254

Mountains Womens Center LLC · Marietta, GA
Active · expires Apr 16, 2027
CLIA Number11D2280254
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorDr. Amber Glenn
Laboratory Phone(678) 944-8042
Laboratory LocationMountains Womens Center LLC1611 Sands Place Suite 100, Marietta, GA 30067
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1611 SANDS PLACE, STE 100
MARIETTA, GA 30067
Obstetrics & Gynecology
1611 SANDS PLACE, STE 100
MARIETTA, GA 30067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountains Women's Center LLC's NPI number?

The NPI number for Mountains Women's Center LLC is 1053012260. It was assigned to this organization in the NPPES registry on March 14, 2023. The provider is doing business as Mountains Women's Center.

Where is Mountains Women's Center LLC located?

Mountains Women's Center LLC is located at 1611 Sands Place Suite 100, Marietta, GA 30067. The listed phone number is (678) 944-8042.

What is Mountains Women's Center LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Mountains Women's Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2280254) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountains Women's Center LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.