PRESTIGE OBSTETRICS AND GYNECOLOGY ASSOCIATES LLC
NPI 1174414460
Obstetrics & Gynecology in Fort Lauderdale, FL

Q: What is Prestige Obstetrics And Gynecology Associates LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since July 14, 2025

3800 W BROWARD BLVD, FORT LAUDERDALE, FL 33312(469) 915-4211 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prestige Obstetrics And Gynecology Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE OBSTETRICS AND GYNECOLOGY ASSOCIATES LLC (NPI 1174414460) is a healthcare organization registered as an obstetrics & gynecology in Fort Lauderdale, Florida and active in the NPI registry since July 2025. The organization lists Al Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1174414460

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NamePRESTIGE OBSTETRICS AND GYNECOLOGY ASSOCIATES LLC

Location Address3800 W BROWARD BLVDFort Lauderdale, FL 33312-1018

Mailing Address3800 W Broward BlvdFort Lauderdale, FL 33312-1018

Phone(469) 915-4211

Organization SubpartNo

Authorized OfficialAl BerryManager · (469) 915-4211

Enumeration DateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1174414460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3800 W BROWARD BLVD, Fort Lauderdale, FL 33312

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prestige Obstetrics And Gynecology Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prestige Obstetrics And Gynecology Associates LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ann Mahan, A.P.N.

Nurse Practitioner

NPI 1033317979

777 GLADES RD RM 240
Boca Raton, FL 33431

(561) 297-3512

✔ PECOS18 mi

Jacqueline Mclaughlin

Obstetrics/Gynecology

NPI 1700037348

109 N DOVERPLUM AVE
Kissimmee, FL 34758

(407) 943-8600

✔ PECOS✔ Accepts Medicare160 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Obstetrics And Gynecology Associates LLC's NPI number?

The NPI number for Prestige Obstetrics And Gynecology Associates LLC is 1174414460. It was assigned to this organization in the NPPES registry on July 14, 2025.

Where is Prestige Obstetrics And Gynecology Associates LLC located?

Prestige Obstetrics And Gynecology Associates LLC is located at 3800 W Broward Blvd, Fort Lauderdale, FL 33312. The listed phone number is (469) 915-4211.

What is Prestige Obstetrics And Gynecology Associates LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Prestige Obstetrics And Gynecology Associates LLC enrolled in Medicare?

Yes. Prestige Obstetrics And Gynecology Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestige Obstetrics And Gynecology Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prestige Obstetrics And Gynecology Associates LLC, in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prestige Obstetrics And Gynecology Associates LLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.