MATERNAL GYNERATIONS 2 LLC (NPI# 1194854125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194854125 |
| Entity Type | Organization |
| Organization Name | MATERNAL GYNERATIONS 2 LLC |
| Practice Address |
761 Old Norcross Rd Lawrenceville GA 30045-4317 |
| Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
| Practice Telephone | 4049430205 |
| Mailing Telephone | 4049430205 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALICIA HOLDEN (LEAD) |
| Authorized Official Telephone | 4049430205 |
| Authorized Official Credential | ACCOUNTING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
761 OLD NORCROSS RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558413880 | John Thomas Hydrick | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-17 |
| 1033618566 | Shana-kae J Davis-chance | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2018-02-11 |
| 1124437991 | Ashley Grimes | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2014-08-06 |
| 1043658180 | Laura Marie Morgigno | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046 | 2013-06-11 |
| 1144535790 | Brittainy L Dark | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2010-08-06 |
| 1689711558 | Maternal Gynerations, PC | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-31 |
| 1801933742 | Ramona J Goetz | Midwife | 761 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 2007-01-31 |
| 1881748952 | Victoria A Roebuck | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| 1568516771 | Jonne Sveum | Midwife | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| 1467506717 | Edmund Sung Joon Kim | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598264681 | Amy Patel | Obstetrics & Gynecology | 123 Franklin Corner Rd Ste 214, Lawrenceville, NJ 08648-2526 | 2018-02-05 |
| 1821316571 | Melissa O'connor Iyoyo | Obstetrics & Gynecology | 500 Medical Center Blvd Ste 250, Lawrenceville, GA 30046-3402 | 2010-05-05 |
| 1255573952 | Marc Andre Jean-gilles | Obstetrics & Gynecology | 601 Professional Dr Ste 370, Lawrenceville, GA 30046-7670 | 2009-03-27 |
| 1578714853 | Thomas C. Tsai M.d. Pa | Obstetrics & Gynecology | 123 Franklin Corner Rd. Suite 106, Lawrenceville, NJ 08648 | 2008-10-06 |
| 1508040353 | Rebecca Lynn Williams | Obstetrics & Gynecology | 761 Old Norcross Road, Lawrenceville, GA 30046-4317 | 2007-12-28 |
| 1558413880 | John Thomas Hydrick | Obstetrics & Gynecology | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-17 |
| 1528147931 | Azubuike Levi Ezeife | Obstetrics & Gynecology | 2025 Princeton Ave, Lawrenceville, NJ 08648-4323 | 2006-11-04 |
| 1598845653 | Roopali Bhattacharjee | Obstetrics & Gynecology | 638 Lawrence Road, Lawrenceville, NJ 08648 | 2006-10-16 |
| 1376638502 | Kerry L Griffin | Obstetrics & Gynecology | 1389 Legrand Cir, Lawrenceville, GA 30043-8193 | 2006-10-04 |
| 1730287012 | Lynn Ellen Zahner | Obstetrics & Gynecology | 337 W Pike St, Suite A, Lawrenceville, GA 30046-4843 | 2006-09-20 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.