Organization Active NPI

Birth and Womens Care PA

  • Obstetrics & Gynecology Physician
  • Fayetteville, NC
National Provider Identifier
1124089040
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BIRTH AND WOMENS CARE PA
Practice address
3601 Cape Center Drive
Fayetteville, NC 28304-4457
Phone
(910) 484-3101
Fax
(910) 484-7133
NPI assigned
Mar 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Andre Felton HallNPI 1780645572
Title
Physician Owner
Phone
(910) 484-3101

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3601 Cape Center Drive
Fayetteville, NC 28304-4457

Mailing address

3601 Cape Center Drive
Fayetteville, NC 28304-4457
Phone (910) 484-3101

Other identifiers 1

IdentifierTypeStateIssuer
890239YMedicaidNC

Other names 1

  • Melvin L Henderson MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000592 NC Part B Supplier - Clinic/Group Practice 8123072691 Receives reassigned benefits from 2 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory
Tax ID family
Birth and Womens Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1124089040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CAPE CENTER DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-484-3101",
            "fax_number": "910-484-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CAPE CENTER DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-484-3101",
            "fax_number": "910-484-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH AND WOMENS CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "FELTON",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "910-484-3101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890239Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melvin L Henderson MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.

Verify at the official NPI Registry.