Old Capital Women's Health

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

053918 Issued in GA

Legal business name

OLD CAPITAL WOMEN'S HEALTH

Practice address

530 West Thomas Street
Milledgeville, GA 31061

Phone

(706) 749-0513

NPI assigned

Dec 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Grover Harrison, M.D.NPI 1720065253

Title

Owner

Phone

(706) 749-0513

Specialties & licenses 1

Addresses

Locations

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.

• Douglas G Harrison, MD

  • Obstetrics & Gynecology Physician
  • Safford, AZ
  • NPI 1720065253
  NPD (past) Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518035922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 PINE VALLEY RD",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612456",
            "telephone_number": "706-749-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WEST THOMAS STREET",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "31061",
            "telephone_number": "706-749-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD CAPITAL WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GROVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-749-0513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "053918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Milledgeville, GA
• Providers in Milledgeville, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.