Organization Active NPI

Womens Transitional Healthcare PLLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1477988202
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WOMENS TRANSITIONAL HEALTHCARE PLLC
Practice address
1977 J N Pease PL Ste 203
Charlotte, NC 28262-4527
Phone
(704) 817-8230
Fax
(704) 665-5645
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Dr. Samantha Graves Suffren, M.D.NPI 1356370027
Title
Ceo
Phone
(704) 817-8230

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 188505 NC
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1977 J N Pease PL Ste 203
Charlotte, NC 28262-4527

Mailing address

1977 J N Pease PL Ste 203
Charlotte, NC 28262-4527
Phone (704) 817-8230

Other names 1

  • Women's Transitional HealthCare Doing business as

National Provider Directory

National Provider Directory

Locations

10400 Mallard Creek Rd
Ste 200
Charlotte, NC 28262
Phone (980) 949-6846

1977 J N Pease Pl
Ste 203
Charlotte, NC 28262
Phone (704) 817-8230

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": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1477988202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624527",
            "telephone_number": "704-817-8230",
            "fax_number": "704-665-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624527",
            "telephone_number": "704-817-8230",
            "fax_number": "704-665-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS TRANSITIONAL HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "SUFFREN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "GRAVES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-817-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "188505",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Transitional HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Transitional HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.