Individual provider Active NPI

Velvet Lavern McDonald, MD

  • Obstetrics & Gynecology Physician
  • Union City, GA
National Provider Identifier
1487721551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036819 Issued in GA
Practice address
6285 Shannon Pkwy
Union City, GA 30291-2081
Phone
(770) 964-4142
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036819 GA Primary

Addresses

Primary practice location

6285 Shannon Pkwy
Union City, GA 30291-2081

Mailing address

6285 Shannon Pkwy
Union City, GA 30291-2081
Phone (770) 964-4142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402001464 GA Practitioner - Obstetrics/Gynecology 5395737068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6285 Shannon Pkwy
Union City, GA 30291-2081
Phone (770) 964-4142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta OBGYN Associates Obstetrics & Gynecology CurrentSince Dec 29, 2003 Accepting new patients
Priceless Primary Health Care of Atlanta Inc Past Accepting new patients

Locations

6285 Shannon Pkwy
Union City, GA 30291
Phone (770) 964-4142

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487721551",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "VELVET",
        "middle_name": "LAVERN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

Verify at the official NPI Registry.