Organization Active NPI

Southern Women'S Care Obstetrics & Gynecology, PLLC

  • Gynecology Physician
  • Campbellsville, KY
National Provider Identifier
1831247345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
SOUTHERN WOMEN'S CARE OBSTETRICS & GYNECOLOGY, PLLC
Practice address
67 Kingswood Dr Ste a
Campbellsville, KY 42718-9647
Phone
(270) 932-4525
NPI assigned
Jan 8, 2007
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
Ms. Teresa Marie Martin
Title
Attorney
Phone
(270) 932-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

67 Kingswood Dr Ste a
Campbellsville, KY 42718-9647

Mailing address

PO Box 127
Summersville, KY 42782-0127
Phone (270) 932-4525

National Provider Directory

National Provider Directory

Locations

67 Kingswood Dr
Ste A
Campbellsvlle, KY 42718
Phone (270) 465-9887

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831247345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "SUMMERSVILLE",
            "state": "KY",
            "postal_code": "427820127",
            "telephone_number": "270-932-4525",
            "fax_number": "270-932-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 KINGSWOOD DR STE A",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189647",
            "telephone_number": "270-932-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WOMEN'S CARE OBSTETRICS & GYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "270-932-4525",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

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.