Active NPI
Hormone Wellness MD
- Gynecology Physician
- Raleigh, NC
National Provider Identifier
1104003367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 200501059
- Legal business name
- HORMONE WELLNESS MD
- Practice address
- 211 E Six Forks Rd Ste 120
Raleigh, NC 27609-7755 - Phone
- (919) 364-3430
- NPI assigned
- Jan 29, 2008
- 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. Polly Watson, MD
- Title
- Owner
- Phone
- (919) 364-3430
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 200501059 | NC | Primary |
Addresses
Primary practice location
211 E Six Forks Rd Ste 120
Raleigh, NC 27609-7755
Mailing address
211 E Six Forks Rd Ste 120
Raleigh, NC 27609-7755
Phone (919) 364-3430
National Provider Directory
National Provider DirectoryLocations
211 E Six Forks Rd
Ste 120
Raleigh, NC 27609
Phone (919) 364-3430
2601 Lake Dr
Ste 103
Raleigh, NC 27607
Phone (919) 782-1307
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Raleigh, NC
- NPI 1730111238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746576000000",
"number": "1104003367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E SIX FORKS RD STE 120",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097755",
"telephone_number": "919-364-3430",
"fax_number": "833-631-6938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E SIX FORKS RD STE 120",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097755",
"telephone_number": "919-364-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORMONE WELLNESS MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "POLLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-364-3430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "200501059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.