Organization Active NPI

Womens Health Center PLLC

  • Obstetrics & Gynecology Physician
  • McComb, MS
National Provider Identifier
1114027315
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS HEALTH CENTER PLLC
Practice address
1318 Harrison Ave
Ste 500
McComb, MS 39648-2830
Phone
(601) 684-2300
Fax
(601) 684-2360
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
David Ray Hubbs, MD
Title
Senior Partner
Phone
(601) 684-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1318 Harrison Ave
Ste 500
McComb, MS 39648-2830

Mailing address

1318 Harrison Ave
McComb, MS 39648-2830
Phone (601) 684-2300

Other identifiers 14

IdentifierTypeStateIssuer
434882043OtherMSBLUE CROSS BLUE SHIELD
438986798OtherMSBLUE CROSS BLUE SHIELD
08607OtherMSSTATE LICENSE
00115244MedicaidMS
1320960MedicaidLA
19007OtherMSSTATE LICENSE
17612OtherMSSTATE LICENSE
03402745MedicaidMS
03886877MedicaidMS
1043621MedicaidLA
1570591MedicaidLA
435250008OtherMSBLUE CROSS BLUE SHIELD
00126201MedicaidMS
1074489MedicaidLA

National Provider Directory

National Provider Directory

Locations

1318 Harrison Ave
McComb, MS 39648
Phone (601) 684-2300

1318 Harrison Ave
Ste 500
McComb, MS 39648
Phone (601) 684-2300

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114027315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 HARRISON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482830",
            "telephone_number": "601-684-2300",
            "fax_number": "601-684-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 HARRISON AVE",
            "address_2": "STE 500",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482830",
            "telephone_number": "601-684-2300",
            "fax_number": "601-684-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HUBBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "601-684-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "434882043",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "438986798",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "08607",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115244",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320960",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "19007",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17612",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03402745",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03886877",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043621",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570591",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "435250008",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126201",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1074489",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.