Greenville Womens Wellness Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GREENVILLE WOMENS WELLNESS CENTER

Practice address

4221 Ridgecrest Rd Ste 109
Greenville, TX 75402-6015

Phone

(903) 455-9582

Fax

(903) 455-5689

NPI assigned

Jan 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Nalls

Title

Office Manager

Phone

(903) 455-9582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
  • NPI 1538170261

  TX

  Medicare reassignment NPD
• Frankie Haddock, WHCNP

  • Women's Health Nurse Practitioner
  • Greenville, TX
  • NPI 1710188461
  NPD (past)
• Tanna Pirtle, APRN

  • Obstetrics Physician
  • Greenville, TX
  • NPI 1962116996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1043357023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD STE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026015",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 RIDGECREST RD STE 109",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026015",
            "telephone_number": "903-455-9582",
            "fax_number": "903-455-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE WOMENS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "NALLS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-455-9582"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenville Pulmonary Associates,PA
• Greenville Sleep Lab, LLP
• Greenville Smiles
• Greenville Tiny Teeth PLLC
• Greenville Wellness Center, LLP
• Jessica Greenway, APRN, FNP
• Greeville Opco, LLC
• Gurjeet S Kalra M.D. P.a.
• Alfredo F. Gurmendi, MD
• Guthrie Medical Clinic Inc

• All providers in Greenville, TX
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.