Provider Demographics
NPI:1639227960
Name:AMERICUS GYNECOLOGY AND OBSTETRICS
Entity Type:Organization
Organization Name:AMERICUS GYNECOLOGY AND OBSTETRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:SCHLEY
Authorized Official - Last Name:GATEWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-924-4035
Mailing Address - Street 1:205 S LEE ST
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3913
Mailing Address - Country:US
Mailing Address - Phone:229-924-4035
Mailing Address - Fax:229-924-1778
Practice Address - Street 1:205 S LEE ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3913
Practice Address - Country:US
Practice Address - Phone:229-924-4035
Practice Address - Fax:229-924-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP1939Medicare ID - Type Unspecified