NPIMap

Organization Active NPI

Paulsen OB GYN

  • Specialist
  • Savannah, GA
National Provider Identifier
1073765079
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
46638 Issued in GA
Legal business name
PAULSEN OB GYN
Practice address
5354 Reynolds St
Suite 304
Savannah, GA 31405-6007
Phone
(912) 355-2800
Fax
(912) 355-9444
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Reginald Jerome Robinson, M.D
Title
President
Phone
(912) 355-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 46638 GA Primary

Addresses

Primary practice location

5354 Reynolds St
Suite 304
Savannah, GA 31405-6007

Mailing address

5354 Reynolds St
Suite 304
Savannah, GA 31405-6007
Phone (912) 355-2800

Other identifiers 1

IdentifierTypeStateIssuer
00813084AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1073765079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST",
            "address_2": "SUITE 304",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056007",
            "telephone_number": "912-355-2800",
            "fax_number": "912-355-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST",
            "address_2": "SUITE 304",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056007",
            "telephone_number": "912-355-2800",
            "fax_number": "912-355-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULSEN OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-355-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "46638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00813084A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.