OLD NATIONAL OB- GYN, LLC – Gynecology Physician, NPI 1851426878

OLD NATIONAL OB- GYN, LLC is a healthcare provider. based in College park, Georgia. specializing in Gynecology Physician. The organization holds a License No. 621111 (GA). The NPI Number for OLD NATIONAL OB- GYN, LLC is 1851426878

Main info

Organization
Name
OLD NATIONAL OB- GYN, LLC
NPI
1851426878
Phone
(770) 991-7552
Address
6210 OLD NATIONAL HWY
Authorized Official
DR. TYRONE C MALLOY OWNER M.D.
Enumeration Date
22 February 2007
Last Update Date
3 May 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for OLD NATIONAL OB- GYN, LLC

  • 6210 OLD NATIONAL HWY

    COLLEGE PARK, GA 303494330

    Phone: (770) 991-7552

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30349)

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Reviews

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Frequently asked questions

Can I use this page to confirm OLD NATIONAL OB- GYN, LLC's NPI?
Yes. OLD NATIONAL OB- GYN, LLC is listed with NPI 1851426878 in the public NPI dataset.
Does CMS list OLD NATIONAL OB- GYN, LLC as active?
Yes — OLD NATIONAL OB- GYN, LLC is active in the NPI listing used on this page.
What healthcare role does OLD NATIONAL OB- GYN, LLC hold?
Scheduling teams often label OLD NATIONAL OB- GYN, LLC under Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does OLD NATIONAL OB- GYN, LLC serve?
OLD NATIONAL OB- GYN, LLC's listing highlights College Park, Georgia; more addresses can appear in NPPES.
Why does OLD NATIONAL OB- GYN, LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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