Active NPI
Southern Pines Womens Health Center PC
- Obstetrics & Gynecology Physician
- Raeford, NC
National Provider Identifier
1073855870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2013
- 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
- Mrs. Rachel Carpenter Byrd
- Title
- Business Office Manager
- Phone
- (910) 684-1532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE8410 | Other | MEDICARE RAILROAD | |
| 7902698 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2078126 | The Southern Pines Womens Health Center | Provider-performed microscopy | May 21, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Kendall Reid Olvey
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Southern Pines Women's Health Center
- Obstetrics & Gynecology Physician
- Southern Pines, NC
- NPI 1265402408
-
- Obstetrics & Gynecology Physician
- Rockingham, NC
- NPI 1326380882
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
- Barbara Marie Southard, FNP-C
- Southeastern Home Health Care Services Inc
- Southeastern Home Health Care Services Inc
- Southerland Consulting Group Services, Inc (United Alliance Health Services)
- Angela Gail Southerland
- Onyx Spears
- Jason Spinnicchia, DO, PA-C
- Spring Arbor Creeks Crossing NC Tenant, LLC (Spring Arbor of Creeks Crossing)
- Julie May Staude
- Danah Charisse Steele
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.