OrganizationActive
Lily Obstetrics and Gynecology, LLC
NPI 1962799486 · Obstetrics & Gynecology Physician · St Simons Island, GA
Provider details
- NPI number
- 1962799486
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Mitchell, Owner/President(912) 638-1801
- License
- 050041 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7000 Wellness Way
Suite 7220
St Simons Island, GA 31522-2286
Phone: (912) 638-1801
Fax: (912) 638-1821
Approximate (ZIP-level) locationGet directions
Mailing address
7000 Wellness Way
St Simons Island, GA 31522-2286
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2012-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.