OB GYN Specialists of Vidalia PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OB GYN SPECIALISTS OF VIDALIA PC

Practice address

1616 Meadows LN
Vidalia, GA 30474-8914

Phone

(912) 537-2798

Fax

(912) 537-3651

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Ingrid Brown, MD

Title

Owner

Phone

(912) 537-2798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619965738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1143",
            "address_2": "1616 MEADOWS LANE",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304751143",
            "telephone_number": "912-537-2798",
            "fax_number": "912-537-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 MEADOWS LN",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748914",
            "telephone_number": "912-537-2798",
            "fax_number": "912-537-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB GYN SPECIALISTS OF VIDALIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-537-2798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Dewayne Neesmith Jr., R.PH.
• Wendy Neesmith, PHYSICAL THERAPIST
• Gregory Norkus, M.D.
• John Marcus Norris, PTA
• Shirley Mike Oates, CERTIFIED PEDIATRIC
• Oconee Sleep Center
• Oconee Sleep Center, LLC
• On Point Mobile Phlebotomy LLC
• Optim Orthopedics, LLC (Optim Orthopedics-Vidalia)
• Optometry Associates, PC

• Obstetrics & Gynecology Physician in Vidalia, GA
• Providers in Vidalia, 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.