Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Executive Ob-Gyn, PC

Organization Nursing Care Agency · NPI 1407023005

Executive Ob-Gyn, PC is a Nursing Care Agency in Powder Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

635 Goldenwood Ct
Powder Springs, GA 30127-6406
Phone: (770) 795-0850
Fax: (770) 429-0446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X · Licence R59280 (GA)

Record details

NPI number1407023005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Whelan — President · (770) 795-0850
NPI enumeratedMay 13, 2008
Last updated in NPPESMay 13, 2008
Mailing address635 Goldenwood Ct, Powder Springs, GA 30127-6406

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