Nova OBGYN, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NOVA OBGYN, PC

Practice address

1587 Phoenix Blvd
Suite6
College Park, GA 30349-5540

Phone

(770) 994-6806

Fax

(770) 994-6807

NPI assigned

Feb 20, 2007

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nelda Corson

Title

Practice Manager

Phone

(770) 994-6806

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1265577159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 PHOENIX BLVD",
            "address_2": "SUITE6",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495540",
            "telephone_number": "770-994-6806",
            "fax_number": "770-994-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 PHOENIX BLVD",
            "address_2": "SUITE6",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495540",
            "telephone_number": "770-994-6806",
            "fax_number": "770-994-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA OBGYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "CORSON",
        "authorized_official_first_name": "NELDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-994-6806",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.