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

Lakeside OB/GYN and Pelvic Surgery, LLC

Organization Obstetrics & Gynecology Physician · NPI 1720225410

Lakeside OB/GYN and Pelvic Surgery, LLC is an Obstetrics & Gynecology Physician in Gainesville, Georgia. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1498 Jesse Jewell Pkwy SE Ste D
Gainesville, GA 30501-3852
Phone: (678) 450-4757
Fax: (678) 450-4758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1720225410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Massey — Practice Administrator · (678) 450-4757
NPI enumeratedJanuary 16, 2009
Last updated in NPPESJanuary 16, 2009
Mailing addressPo Box 2994, Gainesville, GA 30503-2994

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