Organization Active NPI

Middle Georgia Women's Health Practice, LLC

  • Gynecology Physician
  • Warner Robins, GA
National Provider Identifier
1528337045
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
47780 Issued in GA
Legal business name
MIDDLE GEORGIA WOMEN'S HEALTH PRACTICE, LLC
Practice address
304 Margie Dr
Warner Robins, GA 31088-7817
Phone
(478) 971-2186
Fax
(478) 971-2191
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
David Brian Kay, MD
Title
Physician/Owner
Phone
(478) 971-2186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 47780 GA Primary

Addresses

Primary practice location

304 Margie Dr
Warner Robins, GA 31088-7817

Mailing address

304 Margie Dr
Warner Robins, GA 31088-7817
Phone (478) 971-2186

Other identifiers 3

IdentifierTypeStateIssuer
000842597GMedicaidGA
000842597IMedicaidGA
000842597HMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1528337045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MARGIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887817",
            "telephone_number": "478-971-2186",
            "fax_number": "478-971-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MARGIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887817",
            "telephone_number": "478-971-2186",
            "fax_number": "478-971-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA WOMEN'S HEALTH PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "478-971-2186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "47780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000842597G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000842597I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000842597H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.