Organization Active NPI

For Women

  • Gynecology Physician
  • Chapel Hill, NC
National Provider Identifier
1972616274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
9400307 Issued in NC
Legal business name
FOR WOMEN
Practice address
727 Eastowne Dr
200-A
Chapel Hill, NC 27514-2214
Phone
(919) 401-4515
Fax
(919) 401-4514
NPI assigned
Aug 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Marcus W Gillikin, MD,MBA
Title
Consultant
Phone
(252) 353-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 9400307 NC Primary

Addresses

Primary practice location

727 Eastowne Dr
200-A
Chapel Hill, NC 27514-2214

Mailing address

PO Box 30696
Greenville, NC 27833-0696
Phone (252) 353-7162

Other identifiers 1

IdentifierTypeStateIssuer
8959981MedicaidNC

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2183/brand/322/csg/2142/fhir/r4

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972616274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30696",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330696",
            "telephone_number": "252-353-7162",
            "fax_number": "252-353-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 EASTOWNE DR",
            "address_2": "200-A",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142214",
            "telephone_number": "919-401-4515",
            "fax_number": "919-401-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLIKIN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "252-353-7162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD,MBA"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "9400307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959981",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

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.