Vincent G Molinari, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

22603 Issued in GA

Practice address

220 J L White Dr
Suite 120
Jasper, GA 30143-4893

Phone

(706) 692-3539

Fax

(706) 692-9364

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1649264177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR",
            "address_2": "SUITE 120",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434893",
            "telephone_number": "706-692-3539",
            "fax_number": "706-692-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 J L WHITE DR",
            "address_2": "SUITE 120",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434893",
            "telephone_number": "706-692-3539",
            "fax_number": "706-692-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINARI",
        "first_name": "VINCENT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "22603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00221592K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00221592G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis R Miles, MD
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• Holly Wilson Mitchell, RN, CNM
• Robert Lacour Mitchell, MD
• William Thomas Mixon, PT, DPT
• Peter T. Morrow, MD
• Julie Mosher
• Mountain City Dentistry LLC
• Mountainside Anesthesia Consultants LLC
• Mountainside Orthopedics

• Obstetrics & Gynecology Physician in Jasper, GA
• Providers in Jasper, 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 Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.