Individual provider Active NPI

Jeffery Lovinger, M.D.

  • Obstetrics & Gynecology Physician
  • Stockbridge, GA
National Provider Identifier
1871574061
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036810 Issued in GA
Practice address
350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084
Phone
(770) 474-1919
Fax
(770) 474-7832
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036810 GA Primary

Addresses

Primary practice location

350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084

Mailing address

350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084
Phone (770) 474-1919

Other identifiers 5

IdentifierTypeStateIssuer
00539316AMedicaidGA
1077556OtherGAUNITED HEALTHCARE ID
482525OtherGAAETNA PROVIDER ID
2651530OtherGACIGNA PROVIDER ID
52477195OtherGABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111108000760 GA Practitioner - Obstetrics/Gynecology 3375716376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036810GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagles Landing OB GYN Associates, PC Obstetrics & Gynecology CurrentSince Oct 18, 2011 Accepting new patients

Locations

3333 Jodeco Rd
Ste D
McDonough, GA 30253
Phone (770) 474-1919

350 Country Club Dr
Ste D
Stockbridge, GA 30281
Phone (678) 289-7700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1871574061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COUNTRY CLUB DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "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": "350 COUNTRY CLUB DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819084",
            "telephone_number": "770-474-1919",
            "fax_number": "770-474-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVINGER",
        "first_name": "JEFFERY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "036810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00539316A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "1077556",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "482525",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "2651530",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52477195",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.