Organization Active NPI

Southern Womans Care

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
National Provider Identifier
1225557408
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
T030270764OtherTNPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180825000183 TN Part B Supplier - Clinic/Group Practice 5597014431 Receives reassigned benefits from 1 practitioner
Practice locations: Hermitage, TN

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.