New Millennium Obsetrics & Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

32110 Issued in GA

Legal business name

NEW MILLENNIUM OBSETRICS & GYNECOLOGY

Practice address

83 Upper Riverdale Rd SW BLDG 2
Riverdale, GA 30274-2636

Phone

(770) 991-0778

Fax

(770) 991-7390

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Timothy B Brown, M.D.NPI 1255392346

Title

Owner

Phone

(770) 991-0778

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Bonitto Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Riverdale, GA
  • NPI 1255392346
  NPD (past) Authorized official
• Evelinn Suarez Blanks, WHNP

  • Women's Health Nurse Practitioner
  • Riverdale, GA
  • NPI 1023008521
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1114115847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 UPPER RIVERDALE RD SW BLDG 2",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742636",
            "telephone_number": "770-991-0778",
            "fax_number": "770-991-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 UPPER RIVERDALE RD SW BLDG 2",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742636",
            "telephone_number": "770-991-0778",
            "fax_number": "770-991-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENNIUM OBSETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-991-0778",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "32110",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.