SHELBY CHILDREN'S CLINIC (NPI# 1952337289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952337289 |
| Entity Type | Organization |
| Organization Name | SHELBY CHILDREN'S CLINIC |
| Practice Address |
709 N Dekalb St Shelby NC 28150-3911 |
| Mailing Address |
5000 Airport Center Pkwy Ste A Charlotte NC 28208-5899 |
| Practice Telephone | 7044821435 |
| Practice Fax Number | 7044828779 |
| Mailing Telephone | 7045124116 |
| Mailing Fax Number | 7043717284 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANIEL L WIENS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790166P | 05 |
| Street Address |
709 N DEKALB ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865314 | Gracie Crowder | Nurse Practitioner | 709 N Dekalb St, Shelby, NC 28150-3911 | 2019-08-05 |
| 1669996807 | Susannah Stewart | Nurse Practitioner | 709 N Dekalb St, Shelby, NC 28150-3911 | 2017-07-31 |
| 1700228418 | Carolinas Physicians Network Inc | Dietitian, Registered | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-07-23 |
| 1285973677 | Julissa Garrido De Joyce | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-02-05 |
| 1376809608 | Morkor Newman | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2012-04-11 |
| 1033409156 | Elaine Porter | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2011-04-10 |
| 1144535386 | Cmc-northeast, Inc. | Psychiatry & Neurology | 709 N Dekalb St, Carolinas Pediatric Neurology Care - Shelby, Shelby, NC 28150-3911 | 2010-08-12 |
| 1265757686 | Carolinas Physicians Network, Inc. | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2010-03-29 |
| 1356665756 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2010-03-15 |
| 1558596940 | Amy Buttrick | Dietitian, Registered | 709 N Dekalb St, Shelby, NC 28150-3911 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| 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 |
|---|---|---|---|---|
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568580306 | Dorothy Vaughn Vincent | Pediatrics | 1429 E Marion St, Suite 5, Shelby, NC 28150-4986 | 2007-03-27 |
| 1174670137 | Richard Morgan Bowles | Pediatrics | 908 Elizabeth Rd, Shelby, NC 28150-4725 | 2007-01-04 |
| 1801962246 | Andrea Simmons Rice | Pediatrics | 305 West College Ave, Ste C, Shelby, NC 28152-0696 | 2006-11-28 |
| 1730167883 | Michael James Grossell | Pediatrics | 305 W College Ave, Suite A, Shelby, NC 28152-8111 | 2006-01-07 |
| 1285973677 | Julissa Garrido De Joyce | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-02-05 |
| 1376809608 | Morkor Newman | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2012-04-11 |
| 1033409156 | Elaine Porter | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2011-04-10 |
| 1407172091 | Boiling Springs Pediatric & Family Medicine | Pediatrics | 305 W College Ave, A, Shelby, NC 28152-8111 | 2010-04-08 |
| 1578683611 | Shetul Patel | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2007-03-30 |
| Find all providers in SHELBY | ||||
Please comment or provide details below to improve the information on SHELBY CHILDREN'S CLINIC.
| 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.