Total Woman Care, LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

200300501 Issued in NC

Legal business name

TOTAL WOMAN CARE, LLC

Practice address

942 Johnson Ridge Rd
Elkin, NC 28621-2212

Phone

(336) 526-3500

Fax

(336) 526-3508

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lucy K. McIlveen

Title

Practice Administrator

Phone

(336) 526-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25603/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter F McIlveen, M.D.

  • Obstetrics Physician
  • Elkin, NC
  • NPI 1124192737
  Medicare reassignment NPD
• Annis Olivia Fowler Stull, NP

  • Family Nurse Practitioner
  • Elkin, NC
  • NPI 1154132512
  Medicare reassignment NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1659494292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 JOHNSON RIDGE RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212212",
            "telephone_number": "336-526-3500",
            "fax_number": "336-526-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 JOHNSON RIDGE RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212212",
            "telephone_number": "336-526-3500",
            "fax_number": "336-526-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WOMAN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MCILVEEN",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-526-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "200300501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913340",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Blevins Testerman, FNP-BC
• Teresa Suddreth Tharpe, GONP
• The Ac Group Inc
• Thomas Mendolia
• Stephen Paul Tobin
• Cristin M Trecroce, DO
• Tri-County Orthopedic & Sports Medicine, PA
• Tri-County Sports & Rehab
• Triumph LLC
• Triumph LLC

• Obstetrics Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Obstetrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.