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SERENITY GYNECOLOGY, LLC
NPI 1295360949
Obstetrics & Gynecology - Gynecology in Fayetteville, GA

Active since March 03, 2020CLIA 11D2185143 · Waiver
300 GLYNN STREET SOUTH, FAYETTEVILLE, GA 30214(770) 629-2702(770) 909-5004 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Serenity Gynecology, Llc NPPES

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

SERENITY GYNECOLOGY, LLC (NPI 1295360949), doing business as Premier Women's Gyn, Llc, is a healthcare organization registered as a gynecology in Fayetteville, Georgia and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Tracey St. Julian, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1295360949
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameSERENITY GYNECOLOGY, LLC
Location Address300 GLYNN STREET SOUTHFayetteville, GA 30214
Mailing Address300 Glynn Street SouthFayetteville, GA 30214 · (770) 629-2702 · Fax (770) 909-5004
Phone(770) 629-2702
Fax(770) 909-5004
Organization SubpartNo
Authorized OfficialTracey St. JulianPhysician Owner · (770) 629-2702
Enumeration DateMarch 3, 2020
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 3, 2020
✔ NPI 1295360949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
300 GLYNN STREET SOUTH, Fayetteville, GA 30214
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Other Names 1

Former Legal Business NamePremier Women's Gyn, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 11D2185143

Serenity Gynecology, LLC · Fayetteville, GA
Active · expires May 28, 2028
CLIA Number11D2185143
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorTracey L. St Julian
Laboratory Phone(770) 629-2702
Laboratory LocationSerenity Gynecology, LLC300 Glynn Street South, Fayetteville, GA 30214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. TRACEY LYNN ST. JULIAN MD
Obstetrics & Gynecology
300 GLYNN STREET SOUTH
FAYETTEVILLE, GA 30214
Fayette County (770) 629-2702

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 Serenity Gynecology, LLC's NPI number?

The NPI number for Serenity Gynecology, LLC is 1295360949. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider was formerly known as Premier Women's Gyn, LLC.

Where is Serenity Gynecology, LLC located?

Serenity Gynecology, LLC is located at 300 Glynn Street South, Fayetteville, GA 30214. The listed phone number is (770) 629-2702.

What is Serenity Gynecology, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Serenity Gynecology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2185143) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serenity Gynecology, LLC was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.