Active NPI
OB GYN Specialists 2 LLC
- Internal Medicine Physician
- Macon, GA
National Provider Identifier
1275663965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OB GYN SPECIALISTS 2 LLC
- Practice address
- 380 Hospital Dr
Suite 100
Macon, GA 31217-8001 - Phone
- (404) 943-0205
- NPI assigned
- Mar 6, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Holden, ACCOUNTING
- Title
- Lead
- Phone
- (404) 943-0205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
380 Hospital Dr
Suite 100
Macon, GA 31217-8001
Mailing address
PO Box 468329
Atlanta, GA 31146-8329
Phone (404) 943-0205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275663965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468329",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311468329",
"telephone_number": "404-943-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR",
"address_2": "SUITE 100",
"city": "MACON",
"state": "GA",
"postal_code": "312178001",
"telephone_number": "404-943-0205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB GYN SPECIALISTS 2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLDEN",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "LEAD",
"authorized_official_telephone_number": "404-943-0205",
"authorized_official_credential": "ACCOUNTING"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.