Organization Active NPI

Anna M. Cabeca DO PC

  • Obstetrics & Gynecology Physician
  • Brunswick, GA
National Provider Identifier
1346423191
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042537 Issued in GA
Legal business name
ANNA M. CABECA DO PC
Practice address
2712 Parkwood Dr
Brunswick, GA 31520-4727
Phone
(912) 267-7780
Fax
(912) 267-6293
NPI assigned
Dec 14, 2007
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Troy Donal Bivens
Title
Manager
Phone
(912) 267-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042537 GA Primary

Addresses

Primary practice location

2712 Parkwood Dr
Brunswick, GA 31520-4727

Mailing address

2712 Parkwood Dr
Brunswick, GA 31520-4727
Phone (912) 267-7780

Other identifiers 1

IdentifierTypeStateIssuer
1659493484MedicaidGA

National Provider Directory

National Provider Directory

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1346423191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204727",
            "telephone_number": "912-267-7780",
            "fax_number": "912-267-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204727",
            "telephone_number": "912-267-7780",
            "fax_number": "912-267-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M. CABECA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "DONAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-267-7780"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "042537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659493484",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.