Executive OB-GYN, PC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

R59280 Issued in GA

Legal business name

EXECUTIVE OB-GYN, PC

Practice address

635 Goldenwood CT
Powder Springs, GA 30127-6406

Phone

(770) 795-0850

Fax

(770) 429-0446

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Debra Tolley Whelan, M.S.N., C.N.M.

Title

President

Phone

(770) 795-0850

Specialties & licenses 1

Addresses

Practitioners 1

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

• Debra Lynn Tolley Whelan, R.N. M.S.N.C.N.M.

  • Advanced Practice Midwife
  • Marietta, GA
  • NPI 1598809949
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1407023005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 GOLDENWOOD CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276406",
            "telephone_number": "770-795-0850",
            "fax_number": "770-429-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 GOLDENWOOD CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276406",
            "telephone_number": "770-795-0850",
            "fax_number": "770-429-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE OB-GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "TOLLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-795-0850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.N., C.N.M."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "R59280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Ethridge, R.PH.
• James Christopher Evans, HEALTH COACH (CHC)
• Anita Everett
• Everything Wellness LLC
• Evolve & Empower Counseling LLC
• Extended Family Support
• Elvis Eyong Eyong
• Brandon A Fleetwood
• Tara Fleming
• Foothills Chiropractic & Holistic Wellness Center, LLC

• Nursing Care Agency in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.