Active NPI
Southern Women'S Care Obstetrics & Gynecology, PLLC
- Gynecology Physician
- Campbellsville, KY
National Provider Identifier
1831247345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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 DirectoryLocations
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.