St Marys Obgyn LLC
NPI 1912963422 · Obstetrics & Gynecology Physician · Jefferson City, TN
St Marys Obgyn LLC is a Obstetrics & Gynecology Physician organization in Jefferson City, TN (NPI 1912963422).
Provider details
- NPI number
- 1912963422
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St. Mary'S Health System, Inc
- Organization subpart
- Yes
- Authorized official
- Debra London, Chief Executive Officer(865) 545-7558
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-24
- Last updated
- 2009-08-07
Frequently asked questions
- What is St Marys Obgyn LLC's NPI number?
- St Marys Obgyn LLC's National Provider Identifier (NPI) is 1912963422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Marys Obgyn LLC?
- St Marys Obgyn LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is St Marys Obgyn LLC located?
- St Marys Obgyn LLC's practice location on file with NPPES is 120 Hospital Dr, Jefferson City, TN 37760-5279.
- What is St Marys Obgyn LLC's phone number?
- The practice phone number listed in the NPPES registry for St Marys Obgyn LLC is (865) 471-2644.
- Who is the authorized official for St Marys Obgyn LLC?
- The authorized official listed on St Marys Obgyn LLC's NPPES record is Debra London, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Marys Obgyn LLC's NPI active?
- Yes — St Marys Obgyn LLC's NPI (1912963422) is active in the NPPES registry as of the last update on 2009-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.