Active NPI
East Georgia Womens Center
- Obstetrics & Gynecology Physician
- Statesboro, GA
National Provider Identifier
1801007695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 03658
- Legal business name
- EAST GEORGIA WOMENS CENTER
- Practice address
- 1012 Bermuda Run
Statesboro, GA 30458-0858 - Phone
- (912) 871-4800
- Fax
- (912) 871-4900
- NPI assigned
- May 24, 2007
- Last updated
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ginger Deloach
- Title
- Insurance & Billing
- Phone
- (912) 871-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 03658 | GA | Primary |
Addresses
Primary practice location
1012 Bermuda Run
Statesboro, GA 30458-0858
Mailing address
PO Box 428
Statesboro, GA 30459-0428
Phone (912) 871-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0976282 | East Georgia Womens Center | Provider-performed microscopy | Jul 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
1012 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-4800
2 Ed Moore Ct
#C
Statesboro, GA 30458
Phone (912) 871-4800
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Obstetrics & Gynecology Physician
- Statesboro, GA
- NPI 1194718080
-
- Obstetrics & Gynecology Physician
- Augusta, GA
- NPI 1861626301
-
- Obstetrics & Gynecology Physician
- Statesboro, GA
- NPI 1235187659
-
- Obstetrics & Gynecology Physician
- Statesboro, GA
- NPI 1447209150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185321600000",
"number": "1801007695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304590428",
"telephone_number": "912-871-4800",
"fax_number": "912-871-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 BERMUDA RUN",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580858",
"telephone_number": "912-871-4800",
"fax_number": "912-871-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST GEORGIA WOMENS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-25",
"status": "A",
"authorized_official_last_name": "DELOACH",
"authorized_official_first_name": "GINGER",
"authorized_official_title_or_position": "INSURANCE & BILLING",
"authorized_official_telephone_number": "912-871-4800"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "03658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- East Georgia Regional Medical Center, LLC
- East Georgia Regional Medical Center, LLC (Statesboro Imaging Center)
- East Georgia Regional Medical Center, LLC
- East Georgia Urgent Care
- East Georgia Urologic Clinic, PC
- Hillary J Edenfield, LAPC
- Natosha Edenfield, LPC
- Rachel Oglesby Edenfield, PNP
- James Harvey Elerson Jr., DMD
- Elite Screenings & More LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.