Organization Active NPI

Duplin OB GYN PA

  • Obstetrics & Gynecology Physician
  • Kenansville, NC
National Provider Identifier
1265545925
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DUPLIN OB GYN PA
Practice address
149 Limestone Rd Ste 2
Suite 2
Kenansville, NC 28349-9019
Phone
(910) 296-1666
Fax
(910) 296-1108
NPI assigned
Aug 16, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Pamela Quinn
Title
Business Manager
Phone
(910) 296-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

149 Limestone Rd Ste 2
Suite 2
Kenansville, NC 28349-9019

Mailing address

PO Box 485
Kenansville, NC 28349-0485
Phone (910) 296-1666

Other practice location 1

3125 Poplarwood Ct Ste 119
Raleigh, NC 27604-1020
Phone (910) 296-1666

Other practice location 2

802 41st Ave S Ste 109
North Myrtle Beach, SC 29582-5155
Phone (910) 296-1666

Other identifiers 2

IdentifierTypeStateIssuer
011HROtherNCBCBS
89012N5MedicaidNC

National Provider Directory

National Provider Directory

Locations

3125 Poplarwood Ct
Ste 119
Raleigh, NC 27604
Phone (910) 296-1666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1265545925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490485",
            "telephone_number": "910-296-1666",
            "fax_number": "866-284-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 LIMESTONE RD STE 2",
            "address_2": "SUITE 2",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499019",
            "telephone_number": "910-296-1666",
            "fax_number": "910-296-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Poplarwood Ct Ste 119",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276041020",
            "country_code": "US",
            "telephone_number": "910-296-1666",
            "fax_number": "866-284-9986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 41st Ave S Ste 109",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295825155",
            "country_code": "US",
            "telephone_number": "910-296-1666",
            "fax_number": "866-284-9986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUPLIN OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "910-296-1666"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "011HR",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012N5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.