NPIMap

Organization Active NPI

Sandhills Childrens Center

  • Developmental Disabilities Clinic/Center
  • Southern Pines, NC
National Provider Identifier
1013082312
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
6355087 Issued in NC
Legal business name
SANDHILLS CHILDRENS CENTER
Practice address
1280 Central Dr
Southern Pines, NC 28387-2102
Phone
(910) 692-3323
Fax
(910) 692-2096
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melanie C Gayle, MED
Title
Executive Director
Phone
(910) 692-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 6355087 NC Primary

Addresses

Primary practice location

1280 Central Dr
Southern Pines, NC 28387-2102

Mailing address

1280 Central Dr
Southern Pines, NC 28387-2102
Phone (910) 692-3323

Other identifiers 2

IdentifierTypeStateIssuer
8300012KMedicaidNC
8300012MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Sandhills Children's Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Crow Run
Rockingham, NC 28379

108 Crow Run
Rockingham, NC 28379
Phone (910) 817-7009

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1013082312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CENTRAL DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872102",
            "telephone_number": "910-692-3323",
            "fax_number": "910-692-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CENTRAL DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872102",
            "telephone_number": "910-692-3323",
            "fax_number": "910-692-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS CHILDRENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-692-3323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NC",
            "license": "6355087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300012K",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.