Ma Lourdes Blas Mina, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

001708 Issued in GA

Practice address

380 Hospital Dr
Suite 100
Macon, GA 31217-8001

Phone

(478) 743-4646

Fax

(478) 742-5549

NPI assigned

Jan 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Obstetrics/Gynecology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OBGYN SpecialistsGroup PAC ID 2264427228, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: malourdes.mina@obgspec.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/22824/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• OBGYN Specialists

  • Obstetrics Physician
  • Macon, GA
  • NPI 1952406761
  Medicare reassignment Care Compare group NPD
• Obhg Georgia, P.C.

  • Obstetrics & Gynecology Physician
  • Athens, GA
  • NPI 1750686838
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1659558286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-743-4646",
            "fax_number": "478-742-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178001",
            "telephone_number": "478-743-4646",
            "fax_number": "478-742-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "MA LOURDES",
        "middle_name": "BLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "001708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andriea L. Mimbs, NP-C
• Jeffrey Dover Mimbs, MD
• Kayla Lashay Mims
• Schuyler Kathleen Mims, M.D.
• Tashanda Kasey Mims
• Christopher Erin Minette, MD
• Mip Medical Management
• Rida Fatima Mirza, MBBS
• Nupur Mishra
• Sherryl Hearn Misinco, NP-C

• Obstetrics & Gynecology Physician in Macon, GA
• Providers in Macon, 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 Feb 25, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.