SOUTHEASTERN OB, LLC – NPI #1154991073
Obstetrics & Gynecology

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.

SOUTHEASTERN OB, LLC is a provider located in MEMPHIS, TN. NPPES has assigned the NPI number 1154991073 to SOUTHEASTERN OB, LLC on July 01, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN OB, LLC below.

NPI Profile for
SOUTHEASTERN OB, LLC

NPI Number
1154991073
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN OB, LLC
Primary location
1727 KIRBY PKWY STE 200
MEMPHIS, TN 38120-8328
Phone: (870) 335-6990 Fax:
Mailing address
1727 KIRBY PKWY
MEMPHIS, TN 38120-8328
Phone: (901) 767-3810 Fax:
Organization Subpart
No
Authorized Official
KEVIN LONG
COO
Phone: (870) 335-6990
Updated
Certification Date
Jul 01, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.