Organization Active NPI

Southeast Women'S Center, PLLC

  • Obstetrics Physician
  • Clayton, NC
National Provider Identifier
1619201944
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
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

Updated by the provider on Sep 18, 2009

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)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89015W1MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.