HERITAGE OBSTETRICS & GYNECOLOGY (NPI# 1417254335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417254335 |
| Entity Type | Organization |
| Organization Name | HERITAGE OBSTETRICS & GYNECOLOGY |
| Practice Address |
5875 Thompson Mill Rd Ste 140 Hoschton GA 30548-4133 |
| Mailing Address |
688 Lanier Park Dr Gainesville GA 30505-0000 |
| Practice Telephone | 7705311515 |
| Practice Fax Number | 7705311930 |
| Mailing Telephone | 7705311515 |
| Mailing Fax Number | 7705351930 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | CLAYTON COX (PARTNER) |
| Authorized Official Telephone | 7705311515 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE OBSTETRICS & GYNECOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5875 THOMPSON MILL RD STE 140 |
| City | HOSCHTON |
| State | GA |
| Zip Code | 30548-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819111 | James D Jackson | Internal Medicine | 5875 Thompson Mill Rd, Suite 200, Hoschton, GA 30548-4001 | 2005-05-23 |
| 1811212012 | Johnson's Hometown Pharmacy Inc | Pharmacy | 5875 Thompson Mill Rd, Hoschton, GA 30548-4133 | 2010-03-30 |
| 1447417373 | Idopise E. Umana | Internal Medicine | 5875 Thompson Mill Rd, Ste. 200, Hoschton, GA 30501 | 2008-05-19 |
| 1972796803 | The Braselton Clinic | Internal Medicine | 5875 Thompson Mill Rd, Ste. 200, Hoschton, GA 30548-4001 | 2007-08-23 |
| 1992916753 | Chadwick Marshall Palmer | Family Medicine | 5875 Thompson Mill Rd, Suite 280, Hoschton, GA 30548-4133 | 2007-05-24 |
| 1184775405 | Alfred Marshall Martin IIi | Family Medicine | 5875 Thompson Mill Rd, Suite 100, Hoschton, GA 30548-4133 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108587 | Lan Tran Schlecht | Social Worker | 255 Lamar Ln, Hoschton, GA 30548 | 2019-01-22 |
| 1265932560 | Carley Costner | Chiropractor | 280 Cambridge Farms Dr, Hoschton, GA 30548 | 2018-02-14 |
| 1285906263 | Loving Hearts Helping Hands Senior Homecare | Home Health | 2011 Maddox Road, Hoschton, GA 30548 | 2012-02-06 |
| 1588967376 | Pamela Ann Reagin | Massage Therapist | 4397 Hwy 53, Hoschton, GA 30548 | 2010-12-16 |
| 1144523176 | David Chandler Bell | Chiropractor | 55 Freedom Parkway, Suite 112, Hoschton, GA 30548 | 2010-12-14 |
| 1275781361 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5848 Hwy 124 West, Hoschton, GA 30548 | 2008-09-03 |
| 1972635407 | Cognitive Behavioral Health LLC | Counselor | 5415 Thompson Mill Road Ste B, Dr Devin Vicknair, Hoschton, GA 30548 | 2007-03-10 |
| 1336203454 | Robert Lee Cornett | Physical Therapist | 5415 Thompson Mill Road, Hoschton, GA 30548 | 2006-12-21 |
| 1790846426 | West Jackson Medicine Center, Inc | Durable Medical Equipment & Medical Supplies | 3845 Hwy 53, Hoschton, GA 30548 | 2006-12-13 |
| 1235140773 | Jennifer Hawk Wiley | Chiropractor | 117 Bell Avenue, Hoschton, GA 30548 | 2006-08-10 |
| Find all providers in zip 30548 | ||||
| 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 |
|---|---|---|---|---|
| 1053405993 | Daniel Esteves | Obstetrics & Gynecology | 5868 Peacock Ln, Hoschton, GA 30548-4056 | 2006-10-03 |
| 1821359258 | Women's Specialist of North Georgia | Obstetrics & Gynecology | 5868 Peacock Ln, Hoschton, GA 30548-4056 | 2012-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1477185221 | Metro Health and Wellness, LLC | Obstetrics & Gynecology | 2950 Stone Hogan Connector Rd Sw Bldg B, Atlanta, GA 30331-2837 | 2020-02-10 |
| 1437707783 | One Health Research Clinic Atlanta LLC | Obstetrics & Gynecology | 5880 Live Oak Pkwy Ste 160, Norcross, GA 30093-1742 | 2019-08-29 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1912485830 | Hilton Head Regional Physician Network - Georgia, LLC | Obstetrics & Gynecology | 1000 Towne Center Blvd Ste 604b, Pooler, GA 31322-4052 | 2018-08-02 |
| 1003302852 | Louis Wayne Goolsby | Obstetrics & Gynecology | 6605 Britt Rd, Macon, GA 31216-6031 | 2018-07-05 |
| 1508356395 | Hospital Authority of Liberty County | Obstetrics & Gynecology | 455 S Main St Ste 202, Hinesville, GA 31313-4354 | 2018-05-16 |
| 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.