Greater Atlanta OBGYN Associates

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036819 Issued in GA

Legal business name

GREATER ATLANTA OBGYN ASSOCIATES

Practice address

6285 Shannon Pkwy
Union City, GA 30291-2081

Phone

(770) 964-4142

Fax

(770) 964-4575

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Velvet Lavern McDonald, M.D.NPI 1487721551

Title

Ceo-Pysician

Phone

(770) 964-4142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Velvet Lavern McDonald, MD

  • Obstetrics & Gynecology Physician
  • Union City, GA
  • NPI 1487721551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366576100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 SHANNON PKWY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912081",
            "telephone_number": "770-964-4142",
            "fax_number": "770-964-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 SHANNON PKWY",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912081",
            "telephone_number": "770-964-4142",
            "fax_number": "770-964-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ATLANTA OBGYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "VELVET",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "CEO-PYSICIAN",
        "authorized_official_telephone_number": "770-964-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Union City, GA
• Providers in Union City, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.