Organization Active NPI

Women's Premier OB-GYN, LLC

  • Gynecology Physician
  • Foley, AL
National Provider Identifier
1336653393
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
27305 Issued in AL
Legal business name
WOMEN'S PREMIER OB-GYN, LLC
Practice address
619 E Laurel Ave
Foley, AL 36535-3301
Phone
(251) 300-2418
Fax
(251) 471-5597
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Corey D Jacobs, MD
Title
Owner
Phone
(251) 300-2418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 27305 AL Primary

Addresses

Primary practice location

619 E Laurel Ave
Foley, AL 36535-3301

Mailing address

619 E Laurel Ave
Foley, AL 36535-3301
Phone (251) 300-2418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1336653393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353301",
            "telephone_number": "251-300-2418",
            "fax_number": "251-471-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353301",
            "telephone_number": "251-300-2418",
            "fax_number": "251-471-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S PREMIER OB-GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-300-2418",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "27305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.