Mina Nayak M.D. PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

032004 Issued in GA

Legal business name

MINA NAYAK M.D. PC

Practice address

4904 Timber Ridge Drive
Suite 102
Douglasville, GA 30135-1831

Phone

(678) 715-8500

Fax

(770) 489-7884

NPI assigned

Dec 11, 2006

Last updated

Sep 24, 2008By 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

Mina C Nayak, MDNPI 1588625248

Title

Office Manager

Phone

(678) 715-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5530/brand/1/csg/1/fhir/r4

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.

• Mina C Nayak, MD

  • Gynecology Physician
  • Douglasville, GA
  • NPI 1588625248
  Authorized official Same address or phone

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1730249616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE DRIVE",
            "address_2": "SUITE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351831",
            "telephone_number": "678-715-8500",
            "fax_number": "770-489-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 TIMBER RIDGE DRIVE",
            "address_2": "SUITE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351831",
            "telephone_number": "678-715-8500",
            "fax_number": "770-489-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA NAYAK M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-715-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "032004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000438248C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.