NPI age
19 years
Enumerated 2007-02-22
● Active Type 2 · Organization
Old National Ob- Gyn, Llc
Old National Ob- Gyn, Llc is 1 of 267 obstetrics & gynecology organizations in Georgia.
Primary specialty
Obstetrics & Gynecology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Malloy
Owner
Last NPPES update
2010-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 267 active obstetrics & gynecology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6210 Old National Hwy
College Park, GA 303494330
Mailing address
6210 Old National Hwy
College Park, GA 303494330
Authorized official
Tyrone C Malloy, M.D.
Owner
📞 7709917552
Specialties
-
Obstetrics & Gynecology PrimaryA physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00022741M |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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