Middle Georgia Women'S Specialists, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MIDDLE GEORGIA WOMEN'S SPECIALISTS, INC.

Practice address

105 Fairview Park Dr
Dublin, GA 31021-2501

Phone

(478) 274-1040

Fax

(478) 274-0075

NPI assigned

Mar 22, 2007

Organization subpart

No

Name

Amy Lee Loyd

Title

Office Manager

Phone

(478) 274-1040

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2014.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1649397175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212501",
            "telephone_number": "478-274-1040",
            "fax_number": "478-274-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212501",
            "telephone_number": "478-274-1040",
            "fax_number": "478-274-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA WOMEN'S SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "LOYD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-274-1040"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000788026B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000840287A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Internal Medicine LLC
• Middle Georgia Oncology, LLC
• Middle Georgia Oral and Maxillofacial Surgery LLC
• Middle Georgia Radiology, PC
• Middle Georgia Surgical Associates, P.C.
• Kassie D. Middlebrooks, MPAS, PA-C
• Alice Amanda Miller, LPC
• Amber Miller, BCBA
• Jason Eric Miller, LMSW
• Jeri L. Miller, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.