Organization Active NPI

Southern Pines Womens Health Center PC

  • Obstetrics & Gynecology Physician
  • Raeford, NC
National Provider Identifier
1073855870
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHERN PINES WOMENS HEALTH CENTER PC
Practice address
313 Teal Dr
Suite 1
Raeford, NC 28376-2567
Phone
(910) 848-0170
Fax
(910) 904-7427
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Mrs. Rachel Carpenter Byrd
Title
Business Office Manager
Phone
(910) 684-1532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

313 Teal Dr
Suite 1
Raeford, NC 28376-2567

Mailing address

PO Box 749
Southern Pines, NC 28388-0749
Phone (910) 692-7928

Other identifiers 2

IdentifierTypeStateIssuer
CE8410OtherMEDICARE RAILROAD
7902698MedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2078126The Southern Pines Womens Health Center313 Teal Drive, Raeford, NC 28376Provider-performed microscopyMay 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
Kendall Reid Olvey3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

313 Teal Dr
Ste 1
Raeford, NC 28376
Phone (910) 848-0170

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1073855870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283880749",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 TEAL DR",
            "address_2": "SUITE 1",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762567",
            "telephone_number": "910-848-0170",
            "fax_number": "910-904-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PINES WOMENS HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "CARPENTER",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "910-684-1532",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE8410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902698",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.