Marisol San Inocencio, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

047654 Issued in GA

Practice address

1001 Fernwood Dr
Milledgeville, GA 31061-5416

Phone

(478) 453-8100

NPI assigned

Mar 7, 2006

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

Other identifiers 1

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

Pennsylvania State University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Woman'S Care CenterGroup PAC ID 3476563552, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marisol.san.incocencio@oconeeregional.gadirect.net
• Direct secure messaging: marisol.inocencio@nhb.gadirect.net

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.

• The Woman'S Care Center

  • Obstetrics & Gynecology Physician
  • Milledgeville, GA
  • NPI 1669572541
  Medicare reassignment Care Compare group NPD Authorized official
• Privia Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1356907273
  NPD (past)

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

• Navicent Health Baldwin, Inc

  • General Acute Care Hospital
  • Milledgeville, GA
  • NPI 1841701562
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1831166081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310590669",
            "telephone_number": "478-453-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FERNWOOD DR",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615416",
            "telephone_number": "478-453-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN INOCENCIO",
        "first_name": "MARISOL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "047654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000833566D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S.C.P Transit,LLC
• Phillip Salter
• Luis Samper, MD
• Lisa Rush Sampson, AU.D.
• Donzaleigha Sams
• Anne T Sanchez, DMD
• Julie Sanders
• Keondra Sanford
• Lashondra Sanford
• Kristen Sappe

• Obstetrics & Gynecology Physician in Milledgeville, GA
• Providers in Milledgeville, 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 Nov 15, 2011; 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.