Active NPI
Carolina Women's Wellness Center
- Obstetrics & Gynecology Physician
- Albemarle, NC
National Provider Identifier
1962426726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CAROLINA WOMEN'S WELLNESS CENTER
- Practice address
- 929 N 2ND St
Suite 201
Albemarle, NC 28001-3363 - Phone
- (704) 985-1779
- Fax
- (704) 985-1636
- NPI assigned
- Jul 26, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Elizabeth S Robertson, M.D.
- Title
- Vice President
- Phone
- (704) 985-1779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
929 N 2ND St
Suite 201
Albemarle, NC 28001-3363
Mailing address
929 N 2ND St
Suite 201
Albemarle, NC 28001-3363
Phone (704) 985-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015MT | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Albemarle, NC
- NPI 1902810161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962426726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 N 2ND ST",
"address_2": "SUITE 201",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013363",
"telephone_number": "704-985-1779",
"fax_number": "704-985-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N 2ND ST",
"address_2": "SUITE 201",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013363",
"telephone_number": "704-985-1779",
"fax_number": "704-985-1636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA WOMEN'S WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "704-985-1779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015MT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
- Caring Touch LLC
- Victoria Frances Carlino, PA-C
- Carolina Eye Associates Inc (Carolina Eye Associates PA)
- Carolina Health Solutions, PLLC
- Carolina Hearing Group Inc
- Carolinas Hometown Respiratory LLC
- Carolinas Medical Center at Home, LLC (Atrium Health At Home Stanly)
- Carolinas Medical Center at Home, LLC (Atrium Health At Home HME Stanly)
- Carolinas Medical Center-Northeast (NorthEast Plastic & Reconstructive Surgery-Albemarle)
- Carolinas Physician Network Inc (Stanly Central Lab)
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.