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

Madison OB/GYN Associates LLC

Organization Specialist · NPI 1699068775

Madison OB/GYN Associates LLC is a Specialist in Madison, Mississippi. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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

115 Fountains Blvd Ste A
Madison, MS 39110-6344
Phone: (601) 853-0100
Fax: (601) 853-3999
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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
Specialist Taxonomy 174400000X

Record details

NPI number1699068775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Mason — Partner · (601) 853-0100
NPI enumeratedMay 23, 2011
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address115 Fountains Blvd, Suite A, Madison, MS 39110-6344

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