OBSTETRICS AND GYNECOLOGY SPECIALISTS PC
NPI 1427003011
Obstetrics & Gynecology in Davenport, IA
About Obstetrics And Gynecology Specialists Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OBSTETRICS AND GYNECOLOGY SPECIALISTS PC (NPI 1427003011) is a healthcare organization registered as an obstetrics & gynecology in Davenport, Iowa and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 7, 2027 and lists Jenie Marie Graham, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Obstetrics And Gynecology Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Obstetrics And Gynecology Specialists PC, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 16D2321716
Obstetrics And Gynecology Specialists PC · Davenport, IAFrequently 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 Obstetrics And Gynecology Specialists PC's NPI number?
The NPI number for Obstetrics And Gynecology Specialists PC is 1427003011. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is Obstetrics And Gynecology Specialists PC located?
Obstetrics And Gynecology Specialists PC is located at 5350 Eastern Avenue, Davenport, IA 52807. The listed phone number is (563) 355-1853.
What is Obstetrics And Gynecology Specialists PC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Obstetrics And Gynecology Specialists PC enrolled in Medicare?
Yes. Obstetrics And Gynecology Specialists PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Obstetrics And Gynecology Specialists PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Obstetrics And Gynecology Specialists PC. 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. The largest specialties are Obstetrics/Gynecology (8), Certified Nurse Midwife (CNM) (5) and Nurse Practitioner (4). Of these, 14 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Obstetrics And Gynecology Specialists PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 16D2321716) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Obstetrics And Gynecology Specialists PC was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Obstetrics And Gynecology Specialists Pc · NPI 1427003011
Obstetrics & Gynecology organization in Davenport, Iowa. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1427003011 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Jenie Graham, CREDENTIALING
## Practice location
- **Address:** 5350 EASTERN AVENUE, Davenport, IA 52807
- **Phone:** (563) 355-1853 · **Fax:** (563) 355-0327
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (8), Certified Nurse Midwife (CNM) (5), Nurse Practitioner (4); 14 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2017
- **Other identifiers:** Medicare ID-Type Unspecified 9242 (IA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427003011) · Data from the CMS NPPES public registry.