EASTSIDE GYNECOLOGY – NPI #1215132527
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

EASTSIDE GYNECOLOGY is a provider located in ATHENS, GA. NPPES has assigned the NPI number 1215132527 to EASTSIDE GYNECOLOGY on June 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTSIDE GYNECOLOGY” is a dba name, the actual legal business name for this organization is ATHENS GYNECOLOGY PC. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 18 years ago on Apr 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTSIDE GYNECOLOGY below.

NPI Profile for
ATHENS GYNECOLOGY PC

NPI Number
1215132527
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATHENS GYNECOLOGY PC
Doing Business As (dba): EASTSIDE GYNECOLOGY
Primary location
1270 PRINCE AVENUE
SUITE 202
ATHENS, GA 30606
Phone: (706) 548-4424 Fax: (706) 548-4880
Mailing address
1580 TREE LN
PO BOX 325
SNELLVILLE, GA 30078-2207
Phone: (770) 978-7246 Fax: (770) 979-8348
Organization Subpart
No
Authorized Official
ROBERT KELLEY
PHYSICIAN PRESIDENT
Phone: (706) 548-4424
Updated
Identifiers

Identifiers for EASTSIDE GYNECOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000084763B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.