MATERNAL FETAL DIAGNOSTIC CENTER OF ATLANTA – NPI #1609617166
Obstetrics & Gynecology

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

MATERNAL FETAL DIAGNOSTIC CENTER OF ATLANTA is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1609617166 to MATERNAL FETAL DIAGNOSTIC CENTER OF ATLANTA on June 06, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MATERNAL FETAL DIAGNOSTIC CENTER OF ATLANTA” is a dba name, the actual legal business name for this organization is OBSTETRIX MEDICAL GROUP OF ATLANTA, LLC. The primary taxonomy selected by this provider is 207VM0101X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine

The NPI profile was last updated on Oct 23, 2024. 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 MATERNAL FETAL DIAGNOSTIC CENTER OF ATLANTA below.

NPI Profile for
OBSTETRIX MEDICAL GROUP OF ATLANTA, LLC

NPI Number
1609617166
Enumeration Date

(about 2 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
OBSTETRIX MEDICAL GROUP OF ATLANTA, LLC
Doing Business As (dba): MATERNAL FETAL DIAGNOSTIC CENTER OF ATLANTA
Primary location
199 VILLAGE CENTER BLVD STE 110
MYRTLE BEACH, SC 29579-3589
Phone: (843) 236-7878 Fax: (855) 527-5510
Mailing address
1301 CONCORD TER
SUNRISE, FL 33323-2843
Phone: (800) 243-3839 Fax:
Organization Subpart
No
Authorized Official
SUSANNE HECK
PRESIDENT
Phone: (800) 243-3839
Updated
Certification Date
Oct 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207VM0101X
- Obstetrics & Gynecology / Maternal & Fetal Medicine (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.