Organization Active NPI

Carolinas Fertility Institute, P.a.

  • Reproductive Endocrinology Physician
  • Greenville, SC
National Provider Identifier
1578439857
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
CAROLINAS FERTILITY INSTITUTE, P.A.
Practice address
14 Hawthorne Park CT
Greenville, SC 29615-3194
Phone
(336) 448-9100
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Penny Rodriguez
Title
Credentialing Manager
Phone
(336) 448-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NU Primary

Addresses

Primary practice location

14 Hawthorne Park CT
Greenville, SC 29615-3194

Mailing address

PO Box 25804
Winston Salem, NC 27114-5804
Phone (336) 448-9100

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Fertility Institute PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1578439857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25804",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271145804",
            "telephone_number": "336-448-9100",
            "fax_number": "336-448-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HAWTHORNE PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153194",
            "telephone_number": "336-448-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS FERTILITY INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "336-448-9100"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

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