GEORGE G MYGATT (NPI# 1740239730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740239730 |
| Entity Type | Individual |
| Full Name | GEORGE G MYGATT |
| Credential | M.D. |
| Practice Address |
6002 Professional Pkwy Suite 280 Douglasville GA 30134-5600 |
| Practice Telephone | 7709425227 |
| Practice Fax Number | 7704897589 |
| Mailing Telephone | 7709425227 |
| Mailing Fax Number | 7704891589 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 020462 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000281872A | 05 |
| Street Address |
6002 PROFESSIONAL PKWY SUITE 280 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670804 | John Nino | Otolaryngology | 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 | 2005-06-22 |
| 1083078414 | Kaycee Green | Specialist/Technologist | 6002 Professional Pkwy, Douglasville, GA 30134-5600 | 2016-04-12 |
| 1427369727 | Diane L Kaplan | Audiologist | 6002 Professional Pkwy, 100, Douglasville, GA 30134-5600 | 2010-07-01 |
| 1629399555 | Wellstar Bi-county Ent, LLC | Otolaryngology | 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134-5600 | 2010-06-15 |
| 1205090115 | Karen Marie Gunderson | Physician Assistant | 6002 Professional Pkwy, Suite 220, Douglasville, GA 30134-5600 | 2008-07-10 |
| 1790813749 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 6002 Professional Pkwy, Ste 220, Douglasville, GA 30134-5600 | 2007-03-01 |
| 1164566196 | Christopher Michael Burket | Orthopaedic Surgery | 6002 Professional Pkwy, Douglasville, GA 30134-5600 | 2007-02-15 |
| 1376559856 | Eddie D. Coverson | Physical Therapist | 6002 Professional Pkwy, Suite 140, Douglasville, GA 30134-5600 | 2006-08-01 |
| 1649259599 | Helen Rosemary Stockwell | Nurse Practitioner | 6002 Professional Pkwy, Suite 200, Douglasville, GA 30134-5600 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831333046 | Odinaka John Akunne | Urology | 6002 Professional Pkwy Ste 280, Douglasville, GA 30134-5627 | 2009-05-01 |
| 1508081795 | Georgia Urology Pa | Urology | 4645 Timber Ridge Dr Ste 120, Douglasville, GA 30135-7542 | 2007-04-15 |
| 1851340871 | Urology Clinic Northwest, PC | Urology | 8954 Hospital Dr, Suite 115d, Douglasville, GA 30134-2272 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820576 | Advanced Urology Institute of Georgia PC | Urology | 2205 Riverstone Blvd Ste 101, Canton, GA 30114-5250 | 2020-04-23 |
| 1093369795 | Georgia Urology, Pa | Urology | 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 | 2019-07-31 |
| 1790248953 | Michael Oberle | Urology | 1120 15th St Rm Baa 8415, Augusta, GA 30912-4050 | 2019-04-12 |
| 1598220915 | Effingham Urology, LLC | Urology | 613 Towne Park Dr W Ste 204, Rincon, GA 31326-5183 | 2019-02-11 |
| 1275008351 | Center for Special Surgery LLC | Urology | 11660 Alpharetta Hwy Ste 720, Roswell, GA 30076-4916 | 2018-10-04 |
| 1295200426 | Paul Edward Henson Jr. | Urology | 1837 Wood Valley Dr, Dalton, GA 30720-3846 | 2018-10-03 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1922597517 | Wguasc, LLC | Urology | 150 Clinic Ave Ste 203, Carrollton, GA 30117-4402 | 2018-05-09 |
| 1841788395 | Houston Physician Specialists, LLC | Urology | 233 N Houston Rd Ste 100, Warner Robins, GA 31093-8944 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.