Active NPI
Southern Womans Care
- Obstetrics & Gynecology Physician
- Hermitage, TN
National Provider Identifier
1225557408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SOUTHERN WOMANS CARE
- Practice address
- 5651 Frist Blvd Ste 201
Hermitage, TN 37076-2056 - Phone
- (615) 391-0800
- Fax
- (615) 391-0431
- NPI assigned
- Sep 19, 2017
- 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
- Ruth G Sargent
- Title
- Insurance Specialist
- Phone
- (615) 391-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TN | Primary |
Addresses
Primary practice location
5651 Frist Blvd Ste 201
Hermitage, TN 37076-2056
Mailing address
102 Hartman Dr BLDG G121
Lebanon, TN 37087-2569
Phone (615) 391-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T030270764 | Other | TN | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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
- Hermitage, TN
- NPI 1609073626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1225557408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HARTMAN DR BLDG G121",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872569",
"telephone_number": "615-391-0800",
"fax_number": "615-391-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 FRIST BLVD STE 201",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762056",
"telephone_number": "615-391-0800",
"fax_number": "615-391-0431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN WOMANS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SARGENT",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "INSURANCE SPECIALIST",
"authorized_official_telephone_number": "615-391-0800"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "T030270764",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.