Organization Active NPI

Woman'S Wellness Center, PC

  • Obstetrics & Gynecology Physician
  • Conway, SC
National Provider Identifier
1750361986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13889 Issued in SC
Legal business name
WOMAN'S WELLNESS CENTER, PC
Practice address
2376 Cypress Cir
Suite 203
Conway, SC 29526-8964
Phone
(843) 347-4660
Fax
(843) 347-6495
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vanessa G Niles, MD
Title
President
Phone
(843) 347-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 13889 SC Primary

Addresses

Primary practice location

2376 Cypress Cir
Suite 203
Conway, SC 29526-8964

Mailing address

2376 Cypress Cir
Suite 203
Conway, SC 29526-8964
Phone (843) 347-4660

Other identifiers 1

IdentifierTypeStateIssuer
GP2992MedicaidSC

National Provider Directory

National Provider Directory

Locations

2376 Cypress Cir
Ste 203
Conway, SC 29526
Phone (843) 347-4600

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750361986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR",
            "address_2": "SUITE 203",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268964",
            "telephone_number": "843-347-4660",
            "fax_number": "843-347-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR",
            "address_2": "SUITE 203",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268964",
            "telephone_number": "843-347-4660",
            "fax_number": "843-347-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN'S WELLNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-347-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "13889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2992",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.