Organization Active NPI

OBGYN Center PC

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1992914303
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBGYN CENTER PC
Practice address
5311 Paulsen St
Savannah, GA 31405-4800
Phone
(912) 355-7766
NPI assigned
May 22, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Andrew J Edwards III, M.D.NPI 1710066097
Title
Physican
Phone
(912) 355-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5311 Paulsen St
Savannah, GA 31405-4800

Mailing address

5311 Paulsen St
Savannah, GA 31405-4800
Phone (912) 355-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161005002052 GA Part B Supplier - Clinic/Group Practice 6103815121 Receives reassigned benefits from 2 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

600 E 70th St
Savannah, GA 31405
Phone (912) 355-7766

5311 Paulsen St
Savannah, GA 31405
Phone (912) 355-1111

Practitioners & affiliated clinicians

Practitioners 3

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1992914303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054800",
            "telephone_number": "912-355-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054800",
            "telephone_number": "912-355-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "912-355-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.