Active NPI
Women's Center of Greeneville, PC
- Specialist
- Greeneville, TN
National Provider Identifier
1053402701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD018609
- Legal business name
- WOMEN'S CENTER OF GREENEVILLE, PC
- Practice address
- 1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672 - Phone
- (423) 636-2300
- Fax
- (423) 636-0348
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harry C. Nelson, MD
- Title
- Owner/President
- Phone
- (423) 636-2300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD018609 | TN | Primary |
Addresses
Primary practice location
1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672
Mailing address
1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672
Phone (423) 636-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065352 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
1021 Coolidge St
Ste 2
Greeneville, TN 37743
Phone (423) 636-2300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Greeneville, TN
- NPI 1497837132
-
- Obstetrics & Gynecology Physician
- Hendersonville, NC
- NPI 1659395267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287619200000",
"number": "1053402701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 COOLIDGE ST",
"address_2": "SUITE 2",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377434672",
"telephone_number": "423-636-2300",
"fax_number": "423-636-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 COOLIDGE ST",
"address_2": "SUITE 2",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377434672",
"telephone_number": "423-636-2300",
"fax_number": "423-636-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S CENTER OF GREENEVILLE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2010-10-21",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "423-636-2300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "MD018609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3065352",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.