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EAGLES LANDING OB GYN ASSOCIATES, PC
NPI 1649225517
Obstetrics & Gynecology in Mcdonough, GA

Active since May 22, 2006CLIA 11D0258205 · Microscopy
3333 JODECO RD STE D, MCDONOUGH, GA 30253(404) 455-0110(770) 474-7832 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eagles Landing Ob Gyn Associates, Pc NPPES

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

EAGLES LANDING OB GYN ASSOCIATES, PC (NPI 1649225517) is a healthcare organization registered as an obstetrics & gynecology in Mcdonough, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Jackie Livingston, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649225517
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEAGLES LANDING OB GYN ASSOCIATES, PC
Location Address3333 JODECO RD STE DMcdonough, GA 30253-5319
Mailing Address3333 Jodeco Rd Ste DMcdonough, GA 30253-5319 · (770) 474-1919 · Fax (770) 474-7832
Phone(404) 455-0110
Fax(770) 474-7832
Organization SubpartNo
Authorized OfficialJackie LivingstonOffice Manager · (770) 474-1919
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1649225517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in GA · 032893✔ Licensed in GA · 036810✔ Licensed in GA · 043639✔ Licensed in GA · 046612✔ Licensed in GA · 042399✔ Licensed in GA · 057739✔ Licensed in GA · 056295✔ Licensed in GA · 65352
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.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License RN070819 NP (GA)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License RN119659 (GA)
3333 JODECO RD STE D, Mcdonough, GA 30253
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eagles Landing Ob Gyn Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Eagles Landing Ob Gyn Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Anquilla Deleveaux, MD
Obstetrics/Gynecology
NPI 1831650183
3333 JODECO RD STE D
Mcdonough, GA 30253
(770) 474-1919
✔ PECOS✔ Accepts MedicareSame address
Emily Songer
Obstetrics/Gynecology
NPI 1093240095
3333 JODECO RD
Mcdonough, GA 30253
(770) 793-5189
✔ PECOS✔ Accepts MedicareSame address
Amber Watters, MD
Obstetrics/Gynecology
NPI 1134625825
3333 JODECO RD STE D
Mcdonough, GA 30253
(770) 474-1919
✔ PECOS✔ Accepts Medicare0.1 mi
Clarisa Haugabrook, M.D.
Obstetrics/Gynecology
NPI 1255322053
350 COUNTRY CLUB DR SUITE D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS✔ Accepts Medicare2.1 mi
Jeffery Lovinger, M.D.
Obstetrics/Gynecology
NPI 1871574061
350 COUNTRY CLUB DR SUITE D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS2.1 mi
Amanda Phillips, M.D.
Obstetrics/Gynecology
NPI 1447290341
350 COUNTRY CLUB DR SUITE-D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS2.1 mi
Laxman Ramani, M.D.
Obstetrics/Gynecology
NPI 1447231204
350 COUNTRY CLUB DR SUITE D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS✔ Accepts Medicare2.1 mi
Shohba Rao, M.D.
Obstetrics/Gynecology
NPI 1861473613
350 COUNTRY CLUB DR SUITE D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS✔ Accepts Medicare2.1 mi
Annie Cruz, M.D.
Obstetrics/Gynecology
NPI 1104086982
350 COUNTRY CLUB DR SUITE D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS✔ Accepts Medicare2.1 mi
Deborah Haynes, M.D.
Obstetrics/Gynecology
NPI 1104807395
350 COUNTRY CLUB DR SUITE D
Stockbridge, GA 30281
(770) 474-1919
✔ PECOS✔ Accepts Medicare2.1 mi
Christina Smith-Winfield, M.D.
Obstetrics/Gynecology
NPI 1821359845
2675 N DECATUR RD
Decatur, GA 30033
(404) 501-1000
✔ PECOS✔ Accepts Medicare22 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0258205

Eagles Landing Ob/Gyn Association · Mcdonough, GA
Active · expires Aug 31, 2028
CLIA Number11D0258205
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorShobha C. Rao
Laboratory Phone(770) 474-1919
Laboratory LocationEagles Landing Ob/Gyn Association330 Jodeco Road, Suite D, Mcdonough, GA 30253
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Eagles Landing Ob Gyn Associates, PC's NPI number?

The NPI number for Eagles Landing Ob Gyn Associates, PC is 1649225517. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Eagles Landing Ob Gyn Associates, PC located?

Eagles Landing Ob Gyn Associates, PC is located at 3333 Jodeco Rd Ste D, Mcdonough, GA 30253. The listed phone number is (404) 455-0110.

What is Eagles Landing Ob Gyn Associates, PC's specialty?

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

Is Eagles Landing Ob Gyn Associates, PC enrolled in Medicare?

Yes. Eagles Landing Ob Gyn Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagles Landing Ob Gyn Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Eagles Landing Ob Gyn Associates, 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. Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eagles Landing Ob Gyn Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0258205) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eagles Landing Ob Gyn Associates, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eagles Landing Ob Gyn Associates, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eagles Landing Ob Gyn Associates, PC was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.