Central Albany OB-GYN, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

058965 Issued in GA

Legal business name

CENTRAL ALBANY OB-GYN, P.C.

Practice address

421 W 4TH Ave
Albany, GA 31701-1973

Phone

(229) 435-0002

Fax

(229) 883-1782

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Moon Y Chung, M.D.

Title

Shareholder Physician

Phone

(229) 435-0002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1235489485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 4TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011973",
            "telephone_number": "229-435-0002",
            "fax_number": "229-883-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 4TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011973",
            "telephone_number": "229-435-0002",
            "fax_number": "229-883-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ALBANY OB-GYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "MOON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SHAREHOLDER PHYSICIAN",
        "authorized_official_telephone_number": "229-435-0002",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "058965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caz Consulting, LLC.
• Caz Counseling & Behavioral Health
• Caz Counseling and Behavioral Health
• Robert Cella, MD
• Centerwell Health Services USA LLC
• Centre' for Cosmetic Dentistry
• Diane Kathleen Cerjan, PSYD
• Timothy Barrett Chaffin, FNP
• Kristen H Champion, NP
• Penny L Champion, CNM

• Obstetrics & Gynecology Physician in Albany, GA
• Providers in Albany, 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 Sep 14, 2012; 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.