Atlantic OB/GYN, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

16172 Issued in MS

Legal business name

ATLANTIC OB/GYN, INC

Practice address

1110 Broad Ave
Suite 100
Gulfport, MS 39501-8907

Phone

(228) 871-5047

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By 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. Samuel A Gordon, MD

Title

President

Phone

(228) 871-5047

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.

• Heather G Edwards, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1629013099
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1609198290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BROAD AVE",
            "address_2": "SUITE 100",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018907",
            "telephone_number": "228-871-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BROAD AVE",
            "address_2": "SUITE 100",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018907",
            "telephone_number": "228-871-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC OB/GYN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-871-5047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "16172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moiz Artani, M.D.
• Arthritis Institute of Mississippi, LLC
• Asa LLC
• Meghan Ashcroft, SURGICAL ASSIST
• Alanna Atkinson
• Audiology Solutions
• Shayla Tomieka Autman
• Autumn View Outreach and Development
• Autumn View Senior Day Services, LLC
• Swashna Avneeta, MD

• Specialist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.