MACON GYN OB ASSOCIATES II, LLC (NPI# 1740302074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740302074 |
| Entity Type | Organization |
| Organization Name | MACON GYN OB ASSOCIATES II, LLC |
| Practice Address |
650 Coliseum Pl Macon GA 31217-3867 |
| Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
| Practice Telephone | 4049430205 |
| Mailing Telephone | 4049430205 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALICIA HOLDEN (LEAD) |
| Authorized Official Telephone | 4049430205 |
| Authorized Official Credential | ACCOUNTING |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
650 COLISEUM PL |
| City | MACON |
| State | GA |
| Zip Code | 31217-3867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346204724 | A Taylor Coppage IIi | Obstetrics & Gynecology | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-04-13 |
| 1790344570 | Danielle Joy Brown | Advanced Practice Midwife | 650 Coliseum Pl, Macon, GA 31217-3867 | 2019-06-06 |
| 1619355195 | Stacey A. Stout | Advanced Practice Midwife | 650 Coliseum Pl, Macon, GA 31217-3867 | 2015-05-15 |
| 1073629630 | Macon Gyn/ob Associates | Specialist | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-08-23 |
| 1861456873 | Timothy E Carter | Obstetrics & Gynecology | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-04-14 |
| 1437113826 | Stephen M Durkee | Obstetrics & Gynecology | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-04-13 |
| 1881658177 | Cynthia D Lucas | Nurse Practitioner | 650 Coliseum Pl, Macon, GA 31217-3867 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| 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 |
|---|---|---|---|---|
| 1003302852 | Louis Wayne Goolsby | Obstetrics & Gynecology | 6605 Britt Rd, Macon, GA 31216-6031 | 2018-07-05 |
| 1396002572 | Christina Marie Cox | Obstetrics & Gynecology | 380 Hospital Dr Ste 440, Macon, GA 31217-8014 | 2012-04-12 |
| 1841580099 | Cynthia S Roland | Obstetrics & Gynecology | 840 Pine St Ste 990, Macon, GA 31201-7500 | 2011-04-08 |
| 1255668182 | Lauren Hollman Fried | Obstetrics & Gynecology | 682 Hemlock St Ste 300, Macon, GA 31201-8310 | 2009-11-13 |
| 1164663175 | The Womens Center of Central Georgia | Obstetrics & Gynecology | 427 Poplar St, Macon, GA 31201-3335 | 2009-03-20 |
| 1043468275 | Nnaemeka M Umerah | Obstetrics & Gynecology | 4050 Riverside Drive, Macon, GA 31210-1805 | 2008-08-29 |
| 1609053248 | Patrice Nicole Walker | Obstetrics & Gynecology | 777 Hemlock St # 117, Macon, GA 31201-2102 | 2008-01-25 |
| 1255430906 | William Butler | Obstetrics & Gynecology | 4075 Elnora Dr, Macon, GA 31210-1822 | 2006-09-21 |
| 1124007216 | Ephraim C Ahanonu | Obstetrics & Gynecology | 611 Monroe Street, Macon, GA 31201 | 2006-01-17 |
| 1043200694 | Teresa Major Luhrs | Obstetrics & Gynecology | 1062 Forsyth St Ste 2a, Macon, GA 31201-8639 | 2005-10-25 |
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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.