Organization Active NPI

Southeast Women's Center PLLC

  • Obstetrics & Gynecology Physician
  • Smithfield, NC
National Provider Identifier
1427017169
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHEAST WOMEN'S CENTER PLLC
Practice address
300 S 3Rd St
Suite C
Smithfield, NC 27577-4575
Phone
(919) 938-4040
Fax
(919) 938-4075
NPI assigned
Mar 21, 2006
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Shellie Simpkins Duncan
Title
Office Manager
Phone
(919) 938-4040

Specialties & licenses 1

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

Addresses

Primary practice location

300 S 3Rd St
Suite C
Smithfield, NC 27577-4575

Mailing address

300 S 3Rd St
Suite C
Smithfield, NC 27577-4575
Phone (919) 938-4040

Other identifiers 1

IdentifierTypeStateIssuer
89015W1MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1427017169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 3RD ST",
            "address_2": "SUITE C",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774575",
            "telephone_number": "919-938-4040",
            "fax_number": "919-938-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 3RD ST",
            "address_2": "SUITE C",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774575",
            "telephone_number": "919-938-4040",
            "fax_number": "919-938-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST WOMEN'S CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "SIMPKINS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-938-4040"
    },
    "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": "89015W1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.