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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: July 26, 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, 2026 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
Open in Google Maps ↗

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 ›

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, 2026
CLIA Number11D0258205
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMBER WATTERS MD
Obstetrics & Gynecology
3333 JODECO RD STE D
MCDONOUGH, GA 30253
Henry County (770) 474-1919
RACHEL THURMAN NP
Nurse Practitioner (Women's Health)
3333 JODECO RD STE D
MCDONOUGH, GA 30253
Henry County (770) 474-1919
SUSAN MELINDA BAILEY FNP-BC
Nurse Practitioner (Family)
3333 JODECO RD STE D
MCDONOUGH, GA 30253
Henry County (770) 474-1919
ANQUILLA V DELEVEAUX MD
Obstetrics & Gynecology
3333 JODECO RD STE D
MCDONOUGH, GA 30253
Henry County (770) 474-1919
MS. JORDAN JENNA PAYNE APRN, WHNP-BC
Nurse Practitioner (Women's Health)
3333 JODECO RD STE D
MCDONOUGH, GA 30253
Henry County (770) 474-1919

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.

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, 2026. 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 with the weekly NPPES data releases published by CMS.