Organization Active NPI

Cumberland OBGYN

  • Obstetrics & Gynecology Physician
  • Marietta, GA
National Provider Identifier
1982882338
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31197 Issued in GA
Legal business name
CUMBERLAND OBGYN
Practice address
1611 Sands PL SE
Marietta, GA 30067-8785
Phone
(770) 541-1028
Fax
(770) 541-2229
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Ms. Marie Reid
Title
Administrator
Phone
(770) 541-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 31197 GA Primary

Addresses

Primary practice location

1611 Sands PL SE
Marietta, GA 30067-8785

Mailing address

1611 Sands PL SE
Marietta, GA 30067-8785
Phone (770) 541-1028

National Provider Directory

National Provider Directory

Locations

1611 Sands Pl SE
Marietta, GA 30067
Phone (770) 541-1028

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1982882338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SANDS PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678785",
            "telephone_number": "770-541-1028",
            "fax_number": "770-541-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SANDS PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678785",
            "telephone_number": "770-541-1028",
            "fax_number": "770-541-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-541-1028",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "31197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.