SOUTHPOINTE OBGYN LLC NPI 1306160254

NPI Information

  • NPI: 1306160254
  • Provider Name: SOUTHPOINTE OBGYN, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 4710 SPOTSYLVANIA PKWY
    SUITE 205
    FREDERICKSBURG, VA
    ZIP 22407
  • Phone: (540) 371-4488

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NPI Details

SOUTHPOINTE OBGYN, LLC is an obstetrics gynecology in Fredericksburg, VA. The provider is 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. SOUTHPOINTE OBGYN, LLC NPI is 1306160254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4710 SPOTSYLVANIA PKWY
SUITE 205
FREDERICKSBURG, VA
ZIP 22407-433
Phone: (540) 371-4488

The provider's authorized official is Ashleigh A Raubenolt .
The authorized official title is Admin and has the following contact phone number (540) 371-4488.

The enumeration date for this NPI number is 3/22/2010 and was last updated on 8/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VAA100667MEDICARE PINVIRGINIA
21306160254MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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