SOUTH SHORE WOMEN'S HEALTH CARE PC
NPI 1649494246
Obstetrics & Gynecology in St. Joseph, MI
About South Shore Women's Health Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SHORE WOMEN'S HEALTH CARE PC (NPI 1649494246) is a healthcare organization registered as an obstetrics & gynecology in St. Joseph, Michigan and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Rachael E Proctor, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Shore Women's Health Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to South Shore Women's Health Care PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 23D0377985
South Shore Women's Health Care · St Joseph, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Shore Women's Health Care PC's NPI number?
The NPI number for South Shore Women's Health Care PC is 1649494246. It was assigned to this organization in the NPPES registry on April 13, 2007.
Where is South Shore Women's Health Care PC located?
South Shore Women's Health Care PC is located at 2690 S Cleveland Avenue, St. Joseph, MI 49085. The listed phone number is (269) 428-2800.
What is South Shore Women's Health Care PC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is South Shore Women's Health Care PC enrolled in Medicare?
Yes. South Shore Women's Health Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Shore Women's Health Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to South Shore Women's Health Care PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (3) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Shore Women's Health Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 23D0377985) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Shore Women's Health Care PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list South Shore Women's Health Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Shore Women's Health Care PC was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South Shore Women's Health Care Pc · NPI 1649494246
Obstetrics & Gynecology organization in St. Joseph, Michigan. Organization record, active in the CMS NPPES registry since April 13, 2007.
## Identity
- **NPI:** 1649494246 (Entity type: Organization)
- **Enumerated:** April 13, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Rachael Proctor, PRESIDENT
## Practice location
- **Address:** 2690 S CLEVELAND AVENUE, St. Joseph, MI 49085-3002
- **Phone:** (269) 428-2800 · **Fax:** (269) 428-7177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (3), Nurse Practitioner (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2011
- **Other identifiers:** Medicare PIN OA16065 (MI)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1649494246) · Data from the CMS NPPES public registry.