KIDZCARE PEDIATRICS, PC (NPI# 1164657532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164657532 |
| Entity Type | Organization |
| Organization Name | KIDZCARE PEDIATRICS, PC |
| Other Organization Name | PEDIATRIC ASSOCIATES, PC |
| Practice Address |
5335 Yadkin Rd Fayetteville NC 28303-3254 |
| Mailing Address |
Po Box 647 Hope Mills NC 28348-0647 |
| Practice Telephone | 9108267337 |
| Practice Fax Number | 9108267261 |
| Mailing Telephone | 9104837337 |
| Mailing Fax Number | 9104830648 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2013-11-11 |
| Authorized Official Name | MS. REBECCA E WRIGHT (CREDENTIALS MANAGER) |
| Authorized Official Telephone | 9104837337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 016VR | 01 |
| NC | 5950741 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Associates, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1972015097 | Kidzcare Pediatrics, PC | Pediatrics | 112 Medical Village Dr Ste D, Wallace, NC 28466-1665 | 2017-10-30 |
| 1639603087 | Kidzcare Pediatrics, PC | Pediatrics | 189 Bo James St, Suite 1, Clayton, GA 30525-6066 | 2017-04-12 |
| 1598126781 | Kidzcare Pediatrics, PC | Pediatrics | 853 Durham Rd Ste B, Wake Forest, NC 27587-8793 | 2016-03-15 |
| 1023420973 | Kidzcare Pediatrics, PC | Pediatrics | 1406 South Main Street, Lillington, NC 27546 | 2014-05-27 |
| 1629394614 | Kidzcare Pediatrics, PC | Pediatrics | 1022 N Bragg Boulevard, Spring Lake, NC 28390-2709 | 2010-04-15 |
| 1861627226 | Kidzcare Pediatrics, PC | Pediatrics | 5617 Ramsey Street, Fayetteville, NC 28311-1423 | 2009-05-28 |
| 1679529051 | Kidzcare Pediatrics, PC | Pediatrics | 3436 N Main Street, Hope Mills, NC 28348 | 2006-05-26 |
| Street Address |
5335 YADKIN RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354714 | Sandra Normann | Pediatrics | 5335 Yadkin Rd, Fayetteville, NC 28303-3254 | 2005-05-31 |
| 1629505813 | Kelley Holt Johnson | Nurse Practitioner | 5335 Yadkin Rd, Fayetteville, NC 28303-3254 | 2017-05-18 |
| 1992126387 | Richard Edward Hopper | Physician Assistant | 5335 Yadkin Rd, Fayetteville, NC 28303-3254 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1962876128 | Melissa Jadick | Pediatrics | 135 Trotters Rdg, Fayetteville, GA 30215-6540 | 2015-11-25 |
| 1568807741 | Tequilla L Pryor | Pediatrics | 101 Yorktown Dr Ste 201, Fayetteville, GA 30214-1501 | 2013-05-01 |
| 1891065504 | Camp Creek Pediatrics | Pediatrics | 495 Virginia Highlands, Fayetteville, GA 30215-8233 | 2012-01-11 |
| 1144508698 | Sunshine Pediatrics | Pediatrics | 514 Owen Drive, Fayetteville, NC 28304 | 2011-08-02 |
| 1922339142 | Lynn Covey Morrison | Pediatrics | 460 N Canvas Rd, Fayetteville, AR 72701-4737 | 2010-01-28 |
| 1861627226 | Kidzcare Pediatrics, PC | Pediatrics | 5617 Ramsey Street, Fayetteville, NC 28311-1423 | 2009-05-28 |
| 1053553495 | Neil A Tracy | Pediatrics | 3215 N. North Hill Road, Fayetteville, AR 72703-4424 | 2009-03-31 |
| 1932353208 | Children's Health of Carolina Dba Cumberland Children's Clinic | Pediatrics | 1738 Owen Dr Ste 107, Fayetteville, NC 28304-3419 | 2008-11-12 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on KIDZCARE PEDIATRICS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.