Active NPI
Cumberland OBGYN
- Obstetrics & Gynecology Physician
- Marietta, GA
National Provider Identifier
1982882338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 31197
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.
-
- Specialist
- Marietta, GA
- NPI 1497723860
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.