Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Marys OBGYN LLC

Organization Obstetrics & Gynecology Physician · NPI 1912963422

St Marys OBGYN LLC is an Obstetrics & Gynecology Physician in Jefferson City, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 Hospital Dr Ste 250
Jefferson City, TN 37760-5279
Phone: (865) 471-2644
Fax: (865) 471-2649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1912963422
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Mary's Health System, Inc
Authorized official Debra London — Chief Executive Officer · (865) 545-7558
NPI enumeratedApril 24, 2006
Last updated in NPPESAugust 7, 2009
Mailing address900 East Oak Hill Avenue, Knoxville, TN 37917-4556

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