GRIFFIN OB/GYN CLINIC II, LLC (NPI# 1033631809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033631809 |
| Entity Type | Organization |
| Organization Name | GRIFFIN OB/GYN CLINIC II, LLC |
| Practice Address |
503 S 8th St Griffin GA 30224-4211 |
| Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
| Practice Telephone | 7704670614 |
| Practice Fax Number | 7704127881 |
| Mailing Telephone | 4049430205 |
| Mailing Fax Number | 4049430209 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | MRS. SHELLEY DEPP (PAYER RELATIONS LIAISON) |
| Authorized Official Telephone | 7705792626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
503 S 8TH ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104892256 | Louis Mameli | Obstetrics & Gynecology | 503 S 8th St, Griffin, GA 30224-4211 | 2006-02-28 |
| 1669936399 | Nadine A Noelting | Advanced Practice Midwife | 503 S 8th St, Griffin, GA 30224-4211 | 2019-01-28 |
| 1770830408 | Katya Monet Brickman | Registered Nurse | 503 S 8th St, Griffin, GA 30224-4211 | 2012-08-13 |
| 1962609784 | Holly Beth Harrison | Physician Assistant | 503 S 8th St, Griffin, GA 30224-4211 | 2007-06-27 |
| 1720118425 | Griffin Ob Gyn 2 LLC | Obstetrics & Gynecology | 503 S 8th St, Griffin, GA 30224-4211 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
| Find all providers in zip 30224 | ||||
| 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 |
|---|---|---|---|---|
| 1265512859 | Richard Douglas Chewning | Obstetrics & Gynecology | 503 S 8th Street, Griffin, GA 30224 | 2006-10-17 |
| 1104892256 | Louis Mameli | Obstetrics & Gynecology | 503 S 8th St, Griffin, GA 30224-4211 | 2006-02-28 |
| 1285927715 | Spalding Regional Ob-gyn, LLC | Obstetrics & Gynecology | 718 S 8th St, Griffin, GA 30224-4827 | 2011-05-17 |
| 1720118425 | Griffin Ob Gyn 2 LLC | Obstetrics & Gynecology | 503 S 8th St, Griffin, GA 30224-4211 | 2007-03-06 |
| 1639209331 | Mtfp2 LLC | Obstetrics & Gynecology | 747 S Hill St, Griffin, GA 30224-4830 | 2007-03-06 |
| 1558415919 | Griffin Obgyn Clinic Pa | Obstetrics & Gynecology | 503 S 8th Street, Griffin, GA 30224-4211 | 2007-01-23 |
| 1699855288 | James Boyd Dunaway Jr. | Obstetrics & Gynecology | 503 S 8th Street, Griffin, GA 30224-4211 | 2006-10-17 |
| 1073693669 | Bryan Keith Krepps | Obstetrics & Gynecology | 503 S 8th Street, Griffin, GA 30224 | 2006-10-17 |
| 1497835094 | Megan Baldwin Potter | Obstetrics & Gynecology | 503 S 8th Street, Griffin, GA 30224 | 2006-10-17 |
| 1487734075 | Enid Ianthe Lofters-jones | Obstetrics & Gynecology | 503 S 8th Street, Griffin, GA 30224 | 2006-10-17 |
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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.