WEST GEORGIA OBSTETRICS & GYNECOLOGY P.C. (NPI# 1114075694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114075694 |
| Entity Type | Organization |
| Organization Name | WEST GEORGIA OBSTETRICS & GYNECOLOGY P.C. |
| Practice Address |
109 Professional Pl Carrollton GA 30117-3862 |
| Practice Telephone | 7708340170 |
| Practice Fax Number | 7702141456 |
| Mailing Telephone | 7708340170 |
| Mailing Fax Number | 7702141456 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DENISE M. MURRAH (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 7708340170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00223253A | 05 | |
| GA | 00824051A | 05 |
| Street Address |
109 PROFESSIONAL PL |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538247556 | Joan H. Zeller | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-01 |
| 1376931113 | Ruth Anne Farrell | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2015-01-01 |
| 1023301660 | Amy Reed Goss | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2011-05-16 |
| 1619289618 | Jennifer Lynn Marshalek | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2010-07-07 |
| 1811105505 | Jill Megan Grilliot | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2007-05-18 |
| 1164501011 | Frederick W Martin | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-03 |
| 1346328275 | Jennifer C Mckenna | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| 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 |
|---|---|---|---|---|
| 1932308707 | Shannon Vitale Couvreur | Obstetrics & Gynecology | 150 Henry Burson Ave 215, Carrollton, GA 30117-4466 | 2007-07-12 |
| 1467511709 | Christopher R Jewell | Obstetrics & Gynecology | 156 Clinic Ave, Carrollton, GA 30117-4414 | 2006-12-06 |
| 1538247556 | Joan H. Zeller | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-01 |
| 1225061070 | David G Helton | Obstetrics & Gynecology | 150 Henry Burson Dr., Suite # 215, Carrollton, GA 30117 | 2006-07-07 |
| 1699706465 | Ronald Kapusta | Obstetrics & Gynecology | 3012 E Hebron Parkway, Ste 104, Carrollton, TX 75010-4428 | 2006-07-06 |
| 1013919810 | Louis Montanaro IIi | Obstetrics & Gynecology | 4300 N Josey Ln, Suite 106, Carrollton, TX 75010-4602 | 2005-08-11 |
| 1386645927 | Julie Ann Thomas | Obstetrics & Gynecology | 4323 N Josey Ln, Suite 306, Carrollton, TX 75010-4633 | 2005-08-04 |
| 1376931113 | Ruth Anne Farrell | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2015-01-01 |
| 1154666980 | Rachenetta V Stimage Md Pa | Obstetrics & Gynecology | 4360 N Josey Ln, Carrollton, TX 75010-4602 | 2012-12-05 |
| 1619289618 | Jennifer Lynn Marshalek | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2010-07-07 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on WEST GEORGIA OBSTETRICS & GYNECOLOGY P.C..
| 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.