CENTRAL GEORIGA FERTILITY INSTITUTE (NPI# 1447390901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447390901 |
| Entity Type | Organization |
| Organization Name | CENTRAL GEORIGA FERTILITY INSTITUTE |
| Practice Address |
4075 Elnora Dr Macon GA 31210-1822 |
| Mailing Address |
598 3rd St Macon GA 31201-3357 |
| Practice Telephone | 4787577888 |
| Mailing Telephone | 4786336706 |
| Mailing Fax Number | 4786335384 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID CARNOVALE (PHYSICIAN) |
| Authorized Official Telephone | 4787577888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Street Address |
4075 ELNORA DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255430906 | William Butler | Obstetrics & Gynecology | 4075 Elnora Dr, Macon, GA 31210-1822 | 2006-09-21 |
| 1427235050 | Kristina Cross Hawkins | Obstetrics & Gynecology | 4075 Elnora Dr, Macon, GA 31210-1822 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1538645908 | Reproductive Health Medicine & Gynecology | Obstetrics & Gynecology | 3965 Holcomb Bridge Rd Ste 100, Norcross, GA 30092-2203 | 2018-07-18 |
| 1659881290 | Coastal Fertility Center | Obstetrics & Gynecology | 9100 White Bluff Rd Ste 201, Savannah, GA 31406-4600 | 2017-10-10 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| 1639469471 | David Austin Schirmer IIi | Obstetrics & Gynecology | 550 Peachtree St Ne Bldg Ste 1800, Atlanta, GA 30308-2247 | 2011-04-13 |
| 1194988949 | Obehi Alexandria Asemota | Obstetrics & Gynecology | 3005 Royal Blvd S Ste 220, Alpharetta, GA 30022-1408 | 2008-07-02 |
| 1760668396 | Jessica Bronwyn Spencer | Obstetrics & Gynecology | 550 Peachtree Rd., Crawford Long Medical Office Tower, Ste 1800, Atlanta, GA 30308 | 2008-01-14 |
| 1932398831 | Reproductive Endocrinologists, PC | Obstetrics & Gynecology | 903 15th St, Augusta, GA 30901-2607 | 2007-10-17 |
| 1750458261 | Specialty Gynecology PC | Obstetrics & Gynecology | 2398 Mount Vernon Rd, Suite 150, Dunwoody, GA 30338-3064 | 2006-11-29 |
| 1558432179 | Puthugramam K Natrajan | Obstetrics & Gynecology | 903 15th Street, Augusta, GA 30910 | 2006-11-13 |
| 1235211442 | Paula Abby Rothman | Obstetrics & Gynecology | 7141 Hunters Branch Ct Ne, Atlanta, GA 30328-1709 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
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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.