Individual provider Active NPI

Nancy A Denlea, M.D.

  • Obstetrics & Gynecology Physician
  • Brunswick, GA
National Provider Identifier
1902874043
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
047309 Issued in GA
Practice address
3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone
(912) 466-7250
Fax
(912) 466-7253
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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 047309 GA Primary

Addresses

Primary practice location

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788

Mailing address

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

Other identifiers 1

IdentifierTypeStateIssuer
000861044AMedicaidGA

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
I20131125001313 GA Practitioner - Obstetrics/Gynecology 7012143928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc Obstetrics & Gynecology CurrentSince Nov 11, 2013 Accepting new patients
Southeast Georgia Health System, Inc. Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 190
Brunswick, GA 31520
Phone (912) 466-7250

Interoperability endpoints

  • Direct secure messaging: ndenlea@secure.sghsmessaging.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1902874043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204788",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 190",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204788",
            "telephone_number": "912-466-7250",
            "fax_number": "912-466-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENLEA",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "047309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000861044A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.