OB-GYN Associates of Waycross, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

19074 Issued in GA

Legal business name

OB-GYN ASSOCIATES OF WAYCROSS, PLLC

Practice address

1206 Alice Street
Waycross, GA 31501

Phone

(912) 285-2620

Fax

(912) 285-7578

NPI assigned

Oct 23, 2006

Last updated

Jun 16, 2009By 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

Dr. John C. Malmborg, M.D.NPI 1992887350

Title

Physician

Phone

(912) 285-2620

Specialties & licenses 4

Addresses

Other names 1

• John C. Malmborg, M.D./Dan A. Lott, M.D./Joel Higgins, M.D. Other name

Locations

Practitioners 2

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.

• John Christman Malmborg, MD

  • Obstetrics & Gynecology Physician
  • Waycross, GA
  • NPI 1992887350
  Authorized official Same address or phone
• Joel Edward Higgins, MD

  • Hospitalist Physician
  • Canton, GA
  • NPI 1336189414

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1831272988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 ALICE STREET",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-285-2620",
            "fax_number": "912-285-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 ALICE STREET",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "31501",
            "telephone_number": "912-285-2620",
            "fax_number": "912-285-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN ASSOCIATES OF WAYCROSS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MALMBORG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "912-285-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "18925",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "042055",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "19074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John C. Malmborg, M.D./Dan A. Lott, M.D./Joel Higgins, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacie Norman, LAPC
• Deirdre K O'Brien, NP-C
• Randall Frederick O'Brien, M.D.
• Aleta Deonne O'Quinn
• Greta D O'Steen, RN
• Okefenokee Anesthesia Company LLC
• Okefenokee EMS Inc.
• Okefenokee Pharmacy of Waycross, LLC (Batten's Prescription Shoppe Long-Term Care)
• Okefenokee Pharmacy of Waycross, LLC Dba Batten's Prescription Shoppe (Batten's Prescription Shoppe)
• Okefenokee Prescription Shoppe, Inc.

• Obstetrics & Gynecology Physician in Waycross, GA
• Providers in Waycross, 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 Jun 16, 2009; 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.