Heritage OB GYN, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HERITAGE OB GYN, PC

Practice address

668 Lanier Park Dr
Gainesville, GA 30501-2061

Phone

(770) 531-1515

Fax

(770) 538-0517

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Angela Y Anderson

Title

Practice Administrator

Phone

(770) 531-1515

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Clayton L Cox, MD

  • Obstetrics & Gynecology Physician
  • Gainesville, GA
  • NPI 1538131958

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1598895500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012061",
            "telephone_number": "770-531-1515",
            "fax_number": "770-538-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012061",
            "telephone_number": "770-531-1515",
            "fax_number": "770-538-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OB GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-531-1515"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP2489",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Henry, RBT
• Christopher Henson
• Daniel Mark Henson, M.D.
• John Taylor Henson, M.D.
• Youngsuk Heo
• Heritage Obstetrics & Gynecology 2 LLC
• Charyl Hermann, AGNP-C
• Kathryn Elaine Herndon, M.D
• Shue Herr
• Crystal Herrera

• All providers in Gainesville, GA
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.