South County Hospital – Obstetrics & Gynecology Physician, NPI 1245246115
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for South County Hospital
70 KENYON AVE UNIT 103
WAKEFIELD, RI 02879
Phone: (401) 789-0661
Type: Location
38 Powel Ave
Newport, RI 028402655
Phone: (401) 789-0661
Fax: (401) 788-3958
Type: Location
3461 S County Trl
East Greenwich, RI 028181465
Phone: (401) 789-0661
Type: Location
268 Post Rd
Westerly, RI 028916600
Phone: (401) 789-0661
Type: Location
120 Centerville Rd Ste 4
Warwick, RI 028864336
Phone: (401) 789-0661
Fax: (401) 562-1054
Type: Location
PO BOX 229
WAKEFIELD, RI 028800229
Phone: (401) 788-8757
Fax: (401) 782-9867
Type: Mailing
70 KENYON AVE STE G80
WAKEFIELD, RI 028794239
Phone: (401) 789-0661
Fax: (401) 788-3958
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-08-31 (80 days away).
Enrollment records
1
Earliest due date
2026-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070125000408 | O | Clinic/Group Practice | RI | 2026-08-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02879)
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