Active NPI
Southeast Women'S Center, PLLC
- Obstetrics Physician
- Clayton, NC
National Provider Identifier
1619201944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- SOUTHEAST WOMEN'S CENTER, PLLC
- Practice address
- 2076 Hwy 42 West
Suite 250
Clayton, NC 27520-9226 - Phone
- (919) 550-3334
- NPI assigned
- Sep 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suzanne Michelle Jablonski
- Title
- Practice Administrator
- Phone
- (919) 938-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | Primary |
Addresses
Primary practice location
2076 Hwy 42 West
Suite 250
Clayton, NC 27520-9226
Mailing address
300 S 3Rd St
Suite C
Smithfield, NC 27577-4575
Phone (919) 938-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015W1 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Clayton, NC
- NPI 1265822407
-
- Obstetrics & Gynecology Physician
- Smithfield, NC
- NPI 1831431089
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1518101187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253232000000",
"number": "1619201944",
"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": "2076 HWY 42 WEST",
"address_2": "SUITE 250",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275209226",
"telephone_number": "919-550-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST WOMEN'S CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A",
"authorized_official_last_name": "JABLONSKI",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "919-938-4040",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015W1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.