Organization Active NPI

Hormone Wellness MD

  • Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1104003367
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
200501059 Issued in NC
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

Updated by the provider on May 7, 2025

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

Authorized official

Name
Dr. Polly Watson, MDNPI 1730111238
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.