Organization Active NPI

Professional Women's Healthcare, P.a.

  • Obstetrics & Gynecology Physician
  • Dunn, NC
National Provider Identifier
1619936796
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
128937 Issued in NC
Legal business name
PROFESSIONAL WOMEN'S HEALTHCARE, P.A.
Practice address
103 Hunt Dr
Dunn, NC 28334-4987
Phone
(910) 897-7711
Fax
(910) 897-2654
NPI assigned
Mar 19, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Thomas Giebmanns, M.D.NPI 1972656494
Title
Owner/Director
Phone
(910) 897-7711

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 128937 NC Primary

Addresses

Primary practice location

103 Hunt Dr
Dunn, NC 28334-4987

Mailing address

103 Hunt Dr
Dunn, NC 28334-4987
Phone (910) 897-7711

Other practice location 1

805B Tilghman Dr
Dunn, NC 28334-5509
Phone (910) 897-7711

Other practice location 2

805B Tilghman Dr
Dunn, NC 28334-5509
Phone (910) 897-7711

Other practice location 3

103 Hunt Dr
Dunn, NC 28334-4987
Phone (910) 897-7711

Other identifiers 1

IdentifierTypeStateIssuer
8913106MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050808001256 NC Part B Supplier - Clinic/Group Practice 4385673599 Receives reassigned benefits from 1 practitioner
Practice locations: Dunn, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1042257Professional Women's Healthcare PA103 Hunt Drive, Dunn, NC 28334Provider-performed microscopyJun 22, 2027

National Provider Directory

National Provider Directory

Locations

103 Hunt Dr
Dunn, NC 28334
Phone (910) 892-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1619936796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HUNT DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344987",
            "telephone_number": "910-897-7711",
            "fax_number": "910-897-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HUNT DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344987",
            "telephone_number": "910-897-7711",
            "fax_number": "910-897-2654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805B Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345509",
            "country_code": "US",
            "telephone_number": "910-897-7711",
            "fax_number": "910-897-2654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805B Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345509",
            "country_code": "US",
            "telephone_number": "910-897-7711",
            "fax_number": "910-897-2654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Hunt Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344987",
            "country_code": "US",
            "telephone_number": "910-897-7711",
            "fax_number": "910-897-2654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL WOMEN'S HEALTHCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GIEBMANNS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "910-897-7711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "128937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.