DR. ELYSE MARIE PERTOT M.D. NPI 1376885160

NPI Information

  • NPI: 1376885160
  • Provider Name: DR. ELYSE MARIE PERTOT, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 245 MEMORIAL DR
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 353-4333

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NPI Details

DR. Elyse Marie Pertot, M.D. is an obstetrics gynecology in Jacksonville, NC. 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. DR. Elyse Marie Pertot, M.D. NPI is 1376885160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

245 MEMORIAL DR
JACKSONVILLE, NC
ZIP 28546-333
Phone: (910) 353-4333
Fax: (910) 353-2108

The NPI 1376885160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 4/23/2025.

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 & Gynecology0101256836VIRGINIANo
2207V00000XObstetrics & Gynecology2024-01431NORTH CAROLINAYes

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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