George Mack Bird III, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

035-210 Issued in GA

Practice address

821 Plaza Ave
Suite B
Eastman, GA 31023

Phone

(478) 374-9935

Fax

(478) 374-7442

NPI assigned

Jan 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Womens Health PC

  • Gynecology Physician
  • Eastman, GA
  • NPI 1396813317

  Gynecology

  NPD Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1508004433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PLAZA AVE",
            "address_2": "SUITE B",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-9935",
            "fax_number": "478-374-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PLAZA AVE",
            "address_2": "SUITE B",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "31023",
            "telephone_number": "478-374-9935",
            "fax_number": "478-374-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "GEORGE",
        "middle_name": "MACK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "035-210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000502312A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Barnett
• Roger Benjamin Batchelor, D.C.
• Bearden Chiropractic Center
• Bearden Chiropractic Center
• Bio-Medical Applications of Georgia, Inc.
• Blake E. Milner, M.D. P.C.
• Candace H Brown, NP-C
• Jennifer Elizabeth Brown
• Pamela Lynn Brown, FNP-C
• Kristen Nicole Bryant, NP-C

• All providers in Eastman, GA
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.