Washington Womens Care PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

32556 Issued in NC

Legal business name

WASHINGTON WOMENS CARE PA

Practice address

1204 Brown St
Washington, NC 27889-4671

Phone

(252) 946-6544

Fax

(252) 975-6540

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Brenda S Peacock, MD

Title

Owner President

Phone

(252) 946-6544

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1720008154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-946-6544",
            "fax_number": "252-975-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-946-6544",
            "fax_number": "252-975-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON WOMENS CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "252-946-6544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33756",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "32556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901906",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washington Pediatrics
• Washington Pulmonary Associates, PA
• Washington Urological Associates PA
• Washington Wellness, PLLC
• Washington Wellness, PLLC
• Kristen Shannon Watford, LCMHC
• Lisa Virginia Wharton, PA-C
• White Oak Restorative Therapies, PLLC
• Danielle Jarman White, FNP-C
• Kendra Latrice White

• Gynecology Physician in Washington, NC
• Providers in Washington, NC by specialty
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.