Obeddoc PLLC · Obstetrics & Gynecology Physician

1030 River Oaks Dr, Flowood, MS 39232-9553

Overview

Obeddoc PLLC is a Obstetrics & Gynecology Physician (organization) practicing in Flowood, Mississippi. The National Provider Identifier (NPI) is #1629947528, which was assigned on October 30, 2025, and the registration record was last updated on December 1, 2025. The practitioner's main practice location is at 1030 River Oaks Dr, Flowood, MS 39232-9553; the contact telephone number is 6018133404, and the fax number is 6017092452. The primary taxonomy of Obeddoc PLLC is Obstetrics & Gynecology Physician (207V00000X). The authorized official for Obeddoc PLLC is Dr. David Ira Waddell (Owner).

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Provider Information

NPI 1629947528
Entity Type Organization
Organization Name OBEDDOC PLLC
Provider Name OBEDDOC PLLC
Practice Address 1030 River Oaks Dr
Flowood
MS 39232-9553
Practice Telephone 6018133404
Practice Fax Number 6017092452
Mailing Address 1050 River Oaks Dr Ste 200
Flowood
MS 39232-9564
Mailing Telephone 6019545151
Mailing Fax Number 6017092452
Certification Date 2025-12-01
Enumeration Date 2025-10-30
Last Update Date 2025-12-01
Is Organization Subpart N

Authorized Official Information

Official Name DR. DAVID IRA WADDELL
Official Title OWNER
Credential MD
Telephone 6019545151

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207V00000XObstetrics & Gynecology193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 207V00000X
Taxonomy Obstetrics & Gynecology Physician
Classification Obstetrics & Gynecology
Grouping Allopathic & Osteopathic Physicians
Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Galina Makaranka 1745 E Hallandale Beach Blvd Unit 1806w, Hallandale Beach, FL 33009-4661Obstetrics & Gynecology Physician2025-12-19
Northside Womens Group LLC 460 Northside Cherokee Blvd Ste 360, Canton, GA 30115-8019Obstetrics & Gynecology Physician2025-12-05
Courtney Nicole Hall 2605 Kentucky Ave, Paducah, KY 42003-3800Obstetrics & Gynecology Physician2026-01-08
Grace Marie Coltrane 1820 N 1000 Rd, Lawrence, KS 66046-9225Obstetrics & Gynecology Physician2026-01-06
Esse Integrated Reproductive Wellness PLLC 204 Corlies Ave, Pelham, NY 10803-1904Obstetrics & Gynecology Physician2025-12-04
Iha Health Service Corporation 4936 W Clark Rd Ste 100, Ypsilanti, MI 48197-0861Obstetrics & Gynecology Physician2025-12-15
Pierce Obstetrical and Surgical Associates PLLC 18400 Katy Fwy Ste 400, Houston, TX 77094-1292Obstetrics & Gynecology Physician2026-01-05
Sofia Wright 945 Bethesda Dr, Zanesville, OH 43701-0801Obstetrics & Gynecology Physician2025-12-19
Brunswick Hills Obgyn, LLC 620 Cranbury Rd Ste Ll90, East Brunswick, NJ 08816-4098Obstetrics & Gynecology Physician2025-12-18
Advocare, LLC 534 Avenue E Ste 1a, Bayonne, NJ 07002-3987Obstetrics & Gynecology Physician2025-12-12
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Location Information

Street Address 1030 RIVER OAKS DR
City FLOWOOD
State MS
Zip Code 39232-9553
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Joseph Griffin Orr · J. Griffin Orr 1030 River Oaks Dr, Flowood, MS 39232-9553Certified Registered Nurse Anesthetist2025-06-10
River Oaks Hospital, Inc. 1030 River Oaks Dr, Jackson, MS 39232-9553Internal Medicine Physician2006-08-03
Zachary Michael Mcmanus · Zack Mcmanus 1030 River Oaks Dr, Flowood, MS 39232-9729Physician Assistant2025-11-17
Laura K Tanksley 1030 River Oaks Dr, Flowood, MS 39232-9553Acute Care Nurse Practitioner2024-01-30
Chelsi Deshun Archie 1030 River Oaks Dr, Flowood, MS 39232-9553Family Nurse Practitioner2023-02-09
Chad Thomas Davis 1030 River Oaks Dr, Flowood, MS 39232-9553Family Nurse Practitioner2025-06-05
Jamye Pollard 1030 River Oaks Dr, Flowood, MS 39232-9553Certified Registered Nurse Anesthetist2025-05-22

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Beautiful Minds 232 Market St., Suite 248, Flowwood, MS 39232Professional Counselor2025-08-08
Avickwel, LLC 10 Canebrake Blvd Ste 110-67, Flowood, MS 39232-2211Clinical Social Worker2025-09-26
Hopeful Assurance Home Health Care 10 Canebrake Blvd Ste 110-094, Flowood, MS 39232-2211Home Health Agency2025-07-18
Rolan Vernon Tullos 111 Belle Meade Pt Ste C, Flowood, MS 39232-3337Hearing Instrument Specialist2020-12-29
Kimberly Moore 232 Market St, Flowood, MS 39232-3339Family Nurse Practitioner2021-09-30
Daniel C Mullins 2946 Layfair Dr., Flowood, MS 39232Pediatrics Physician2016-03-22
Legacy Counseling & Consulting LLC 10 Canebrake Blvd Ste 110-118, Flowood, MS 39232-2211Professional Counselor2025-11-18
Sleep Management, L.L.C. 232 Market St Ste 247, Flowood, MS 39232-3339Home Health Registered Respiratory Therapist2018-02-06
Sean Lenard 10 Canebrake Blvd Ste 110-102, Flowood, MS 39232-2211Marriage & Family Therapist2018-10-26
Allie Stephens 583 Dexter Dr Apt C, Flowood, MS 39232-3020Behavior Technician2025-11-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.