Active NPI
Rex Hospital Inc
- Obstetrics & Gynecology Physician
- Holly Springs, NC
National Provider Identifier
1083216618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- REX HOSPITAL INC
- Practice address
- 781 Avent Ferry Rd Ste 106
Holly Springs, NC 27540-7776 - Phone
- (919) 567-6133
- Fax
- (919) 567-6134
- NPI assigned
- Nov 9, 2020
- 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
- Maria Jayoussi
- Title
- VP Finance Community Physicians
- Phone
- (440) 476-1713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
781 Avent Ferry Rd Ste 106
Holly Springs, NC 27540-7776
Mailing address
781 Avent Ferry Rd Ste 106
Holly Springs, NC 27540-7776
Phone (919) 567-6133
Other practice location 1
4414 Lake Boone Trl Ste 402
Raleigh, NC 27607-7520
Phone (919) 567-6133
Other practice location 2
10030 Green Level Church Rd Ste 808
Cary, NC 27519-8195
Phone (919) 567-6133
Other names 1
- North Carolina OB/GYN & Midwifery
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140613001181 | NC | Part B Supplier - Clinic/Group Practice | 0840109864 |
Receives reassigned benefits from 10 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cary, NC; Raleigh, NC |
Other NPIs on the same Medicare enrollment 32
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Raleigh, NC
- NPI 1124694567
O20140613001181
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1083216618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 AVENT FERRY RD STE 106",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407776",
"telephone_number": "919-567-6133",
"fax_number": "919-567-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 AVENT FERRY RD STE 106",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407776",
"telephone_number": "919-567-6133",
"fax_number": "919-567-6134"
}
],
"practiceLocations": [
{
"address_1": "4414 Lake Boone Trl Ste 402",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077520",
"country_code": "US",
"telephone_number": "919-567-6133",
"fax_number": "919-567-6134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10030 Green Level Church Rd Ste 808",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275198195",
"country_code": "US",
"telephone_number": "919-567-6133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REX HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "JAYOUSSI",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "VP FINANCE COMMUNITY PHYSICIANS",
"authorized_official_telephone_number": "440-476-1713"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "North Carolina OB/GYN & Midwifery",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.