NPIMap

Organization Active NPI

Valley Obstetrics & Womens Pelvic Health Center

  • Obstetrics & Gynecology Physician
  • Athens, AL
National Provider Identifier
1487938494
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VALLEY OBSTETRICS & WOMENS PELVIC HEALTH CENTER
Practice address
1005 W Market St Ste 17
Athens, AL 35611-2454
Phone
(256) 233-5000
Fax
(256) 233-5361
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Sebrina B Holt
Title
Executive Director
Phone
(256) 216-9648

Specialties & licenses 1

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

Addresses

Primary practice location

1005 W Market St Ste 17
Athens, AL 35611-2454

Mailing address

1005 W Market St Ste 17
Athens, AL 35611-2454
Phone (256) 233-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000581 AL Part B Supplier - Clinic/Group Practice 3476726480 Receives reassigned benefits from 7 practitioners
Practice locations: Athens, AL

National Provider Directory

National Provider Directory

Locations

1005 W Market St
Ste 17
Athens, AL 35611
Phone (256) 233-3100

15234 Greenfield Dr Ste a
Athens, AL 35613

15243 Greenfield Dr
Ste C
Athens, AL 35613

Practitioners & affiliated clinicians

Practitioners 7

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": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1487938494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST STE 17",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-5000",
            "fax_number": "256-233-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST STE 17",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-5000",
            "fax_number": "256-233-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OBSTETRICS & WOMENS PELVIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.