Anquilla V Deleveaux, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

96726 Issued in GA

Practice address

3333 Jodeco Rd Ste D
McDonough, GA 30253-5371

Phone

(770) 474-1919

Fax

(770) 474-7832

NPI assigned

Mar 28, 2019

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

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagles Landing OB GYN Associates, PCGroup PAC ID 7113963505, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eagles Landing OB GYN Associates, PC

  • Obstetrics & Gynecology Physician
  • McDonough, GA
  • NPI 1649225517
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1831650183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 JODECO RD STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535371",
            "telephone_number": "770-474-1919",
            "fax_number": "770-474-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 JODECO RD STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535371",
            "telephone_number": "770-474-1919",
            "fax_number": "770-474-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEVEAUX",
        "first_name": "ANQUILLA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "96726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sola Davis
• Tisa Davis
• Ursula M Davis, LPC
• Monique Rachelle Deering, TRICHOLOGIST / HLP
• Dawn Delegal
• Kimberly Delk
• William H Dellinger Jr., DDS
• Evita C. Dendy, SLP-CCC
• Kacey Lynn Dennis, MS, EDS, LPC
• Lacey Dent, MS, CCC-SLP

• Obstetrics & Gynecology Physician in McDonough, GA
• Providers in McDonough, 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 Aug 11, 2023; 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.