Heritage OBGYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HERITAGE OBGYN

Practice address

2695 Old Winder Hwy
Ste 250
Braselton, GA 30517-6075

Phone

(770) 965-4170

Fax

(770) 965-4171

NPI assigned

Dec 6, 2011

Organization subpart

Yes

Parent organization

HERITAGE OBGYNAs reported in NPPES

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

Authorized official

Name

Annette Sloan

Title

Administrator

Phone

(770) 531-1515

Specialties & licenses 1

Addresses

Tax ID family

Heritage OB GYN PC2 organizations share this tax ID, including this one

Part of

Heritage OB GYN PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Obstetrics & Gynecology

  • Obstetrics & Gynecology Physician
  • Hoschton, GA
  • NPI 1417254335
  NPD tax ID

Locations

Practitioners 2

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

• Francis T Lake Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Statesboro, GA
  • NPI 1528030947
  NPD (past)
• Stephen L Little, MD

  • Obstetrics & Gynecology Physician
  • Gainesville, GA
  • NPI 1780658674
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1285902197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012061",
            "telephone_number": "770-531-1515",
            "fax_number": "770-531-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 OLD WINDER HWY",
            "address_2": "STE 250",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176075",
            "telephone_number": "770-965-4170",
            "fax_number": "770-965-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OBGYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE OBGYN",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-531-1515"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Haynes, FNP
• Hearing Consultants of Georgia
• Heartland Dental Care of Georgia, P.C.
• Dana Trent Hensley Jr., M.D.
• Brielle Hentz
• Joshua Hill, PT
• Morgan E Holland, DPT
• Madison McKinnon Holmes, FNP-C
• Kristopher Karl Hook, PA-C
• Hope Hospice and Palliative Care Service

• Obstetrics & Gynecology Physician in Braselton, GA
• Providers in Braselton, 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 Dec 6, 2011; 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.