Organization Active NPI

Molly M. Kramer M.D.,P.C.

  • Gynecology Physician
  • Vidalia, GA
National Provider Identifier
1275700452
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
047472 Issued in GA
Legal business name
MOLLY M. KRAMER M.D.,P.C.
Practice address
104 Maple Drive
Vidalia, GA 30474-1144
Phone
(912) 537-8099
Fax
(912) 537-3828
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Molly McQuigg Kramer, M.D.
Title
Physician
Phone
(912) 537-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 047472 GA Primary

Addresses

Primary practice location

104 Maple Drive
Vidalia, GA 30474-1144

Mailing address

PO Box 1144
Vidalia, GA 30475-1144
Phone (912) 537-8099

Other identifiers 1

IdentifierTypeStateIssuer
000910005AMedicaidGA

National Provider Directory

National Provider Directory

Locations

104 Maple Dr
Vidalia, GA 30474
Phone (912) 537-0614

504 Maple Dr
Vidalia, GA 30474
Phone (912) 537-8099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1275700452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304751144",
            "telephone_number": "912-537-8099",
            "fax_number": "912-537-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAPLE DRIVE",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304741144",
            "telephone_number": "912-537-8099",
            "fax_number": "912-537-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY M. KRAMER M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "MCQUIGG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-537-8099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "047472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000910005A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.