OGEECHEE OB-GYN, P.C. (NPI# 1134198104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134198104 |
| Entity Type | Organization |
| Organization Name | OGEECHEE OB-GYN, P.C. |
| Practice Address |
1497 Fair Rd Suite 300 Statesboro GA 30458-0822 |
| Practice Telephone | 9128716206 |
| Practice Fax Number | 9126818558 |
| Mailing Telephone | 9128716206 |
| Mailing Fax Number | 9126818558 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TONYA KAY CLARK (OFFICE MANAGER) |
| Authorized Official Telephone | 9128716206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN069911 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | RN069911NP | 01 |
| GA | NPI | 1134198104 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380592 | Ogeechee Ob-gyn, P.C. | Obstetrics & Gynecology | 1497 Fair Rd, Suite 300, Statesboro, GA 30458-0822 | 2006-03-16 |
| 1811966369 | Ogeechee Ob-gyn, P.C. | Obstetrics & Gynecology | 1497 Fair Rd, Suite 300, Statesboro, GA 30458-0822 | 2006-03-16 |
| Street Address |
1497 FAIR RD SUITE 300 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-0822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952380768 | Karen Renea Hilde | Nurse Practitioner | 1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822 | 2006-01-10 |
| 1508393208 | Neurology and Neurodiagnostic LLC | Psychiatry & Neurology | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2017-05-12 |
| 1720341514 | Bulloch Pediatrics Group, LLC | Nurse Practitioner | 1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822 | 2012-06-18 |
| 1114291051 | Clare D Heidler Iv | Registered Nurse | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0822 | 2012-02-23 |
| 1942591482 | Kathryn Winn Marucco | Nurse Practitioner | 1497 Fair Rd, Suite 200, Statesboro, GA 30458-0822 | 2011-05-02 |
| 1487983151 | East Georgia Hma Physician Management, LLC | Surgery | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-12-09 |
| 1023247723 | Ian C Munger | Emergency Medicine | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-07-02 |
| 1760627699 | Stattesboro Orthopaedic Center, Inc | Orthopaedic Surgery | 1497 Fair Rd, Ste 101, Statesboro, GA 30458-0823 | 2008-12-05 |
| 1679775712 | Bulloch Pediatrics, PC | Pediatrics | 1497 Fair Rd, Ste 200, Statesboro, GA 30458-0822 | 2007-06-01 |
| 1043352958 | Cesar Clinic, LLC | Specialist | 1497 Fair Rd, Suite 201, Statesboro, GA 30458-0822 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912197815 | Dellarie L Shilling | Nurse Practitioner | 1310 Brampton Ave, Statesboro, GA 30458-0851 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
| 1992138788 | Lindley Ann Cone Kent | Nurse Practitioner | 285 Boulevard Ne Ste 110, Atlanta, GA 30312-4207 | 2013-08-15 |
| 1881963122 | Heather Calhoun Quaile | Nurse Practitioner | 3233 S Cherokee Ln Bldg 1000, Woodstock, GA 30188-4461 | 2011-12-15 |
| 1275812760 | Leah Galloway Pombo | Nurse Practitioner | 9 Dunwoody Park Ste 108, Atlanta, GA 30338-6712 | 2011-08-15 |
| 1033315122 | Suni Hamm Carroll | Nurse Practitioner | 1105 N 5th Ave Ne, Rome, GA 30165-2603 | 2007-06-25 |
| 1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
| 1538201330 | Betty S Rhyne | Nurse Practitioner | 618 E Lamar St, Americus, GA 31709-3738 | 2007-02-12 |
| 1457389751 | Katina Catrice Hunter | Nurse Practitioner | 4849 Paulsen St Ste 314, Savannah, GA 31405-4426 | 2006-06-28 |
| 1912945288 | Angela B Townsend | Nurse Practitioner | 11168 Columbia St, Blakely, GA 39823-3474 | 2006-06-02 |
| 1316900343 | Regina C Bogle | Nurse Practitioner | 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 | 2006-04-10 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.