Dominion Gynecology LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DOMINION GYNECOLOGY LLC

Practice address

5046 Highway 17 Byp S Ste 202
Myrtle Beach, SC 29588-4503

Phone

(843) 293-0466

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Gwendolyn Cobbs, MDNPI 1295794386

Title

Owner/MD

Phone

(843) 293-0466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24312/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendolyn Patterson Cobbs, M.D.

  • Gynecology Physician
  • Myrtle Beach, SC
  • NPI 1295794386

  Obstetrics & Gynecology

  Medicare reassignment NPD Authorized official
• Naomi Jean Ferguson, FNP

  • Family Nurse Practitioner
  • Murrells Inlet, SC
  • NPI 1699217653
  Medicare reassignment NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1750165841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 HIGHWAY 17 BYP S STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-293-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 HIGHWAY 17 BYP S STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884503",
            "telephone_number": "843-293-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "COBBS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "843-293-0466",
        "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": []
}

• Doctor Fitness , Inc
• Doctors Care SC, PA
• Doctors Care SC, PA
• Doctors Care, PA
• Megan Dawn Dolly, PHARM D
• Jolene Donaldson
• Jin Li Dong
• Crystal Donjon, PHARM.D.
• Bhavika Dookhi, MD
• Kristin Dorio

• Obstetrics & Gynecology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.