ST MARYS OBGYN LLC
NPI 1912963422
Obstetrics & Gynecology in Jefferson City, TN

Q: What is St Marys Obgyn LLC's NPI number?

The NPI number for St Marys Obgyn LLC is 1912963422. It was assigned to this organization in the NPPES registry on April 24, 2006.

Q: What is St Marys Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 24, 2006

120 HOSPITAL DR, SUITE 250, JEFFERSON CITY, TN 37760(865) 471-2644(865) 471-2649 Get Directions Write a Review

NPPES record last updated: August 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About St Marys Obgyn Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST MARYS OBGYN LLC (NPI 1912963422) is a healthcare organization registered as an obstetrics & gynecology in Jefferson City, Tennessee and active in the NPI registry since April 2006. The organization lists Debra K London, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1912963422

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameST MARYS OBGYN LLC

Location Address120 HOSPITAL DR, SUITE 250Jefferson City, TN 37760-5279

Mailing Address900 East Oak Hill AvenueKnoxville, TN 37917-4556 · (865) 545-8000 · Fax (865) 545-3105

Phone(865) 471-2644

Fax(865) 471-2649

Organization SubpartYesParent: St. Mary's Health System, Inc

Authorized OfficialDebra K LondonChief Executive Officer · (865) 545-7558

Enumeration DateApril 24, 2006

Last NPPES UpdateAugust 7, 2009

✔ NPI 1912963422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

120 HOSPITAL DR, Jefferson City, TN 37760

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Other Identifiers 1

Medicare PIN3731815TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON C. HARRIS PA

Physician Assistant

120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 474-4742

MS. SHERI AGATHA NSAMENANG M.S.

Student in an Organized Health Care Education/Training Program

120 HOSPITAL DR, SUITE 230
JEFFERSON CITY, TN 37760

Jefferson County (865) 471-0312

WILLIAM W RAMSEY M.D.

Internal Medicine

120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 475-4742

DR. LEANN M BYRD MD

Family Medicine

120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 475-4742

LANCE S PATTON M.D.

Internal Medicine

120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 475-4742

JOHN AUSTIN KIRBY M.D.

Internal Medicine

120 HOSPITAL DR, STE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 475-4742

DR. KENNETH M ALLUM III MD

Family Medicine

120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 475-4742

RICHARD B CARTER JR. MD

Internal Medicine

120 HOSPITAL DR, SUITE 130
JEFFERSON CITY, TN 37760

Jefferson County (865) 475-4742

Frequently 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 St Marys Obgyn LLC's NPI number?

The NPI number for St Marys Obgyn LLC is 1912963422. It was assigned to this organization in the NPPES registry on April 24, 2006.

Where is St Marys Obgyn LLC located?

St Marys Obgyn LLC is located at 120 Hospital Dr Suite 250, Jefferson City, TN 37760. The listed phone number is (865) 471-2644.

What is St Marys Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for St Marys Obgyn LLC was last updated on August 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.