Organization Active NPI

Leland Pediatrics PC

  • Pediatrics Physician
  • Leland, NC
National Provider Identifier
1013175132
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2001-00118 Issued in NC
Legal business name
LELAND PEDIATRICS PC
Practice address
509 Olde Waterford Way
Suite 203
Leland, NC 28451-4125
Phone
(910) 383-3883
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Alfonso Austria
Title
Practice Manager
Phone
(910) 383-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2001-00118 NC Primary

Addresses

Primary practice location

509 Olde Waterford Way
Suite 203
Leland, NC 28451-4125

Mailing address

509 Olde Waterford Way
Suite 203
Leland, NC 28451-4125

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1056236Leland Pediatrics PC509 Olde Waterford Way Ste 203, Leland, NC 28451Certificate of waiverJul 10, 2026

National Provider Directory

National Provider Directory

Locations

509 Olde Waterford Way
Ste 203
Leland, NC 28451
Phone (910) 383-3883

Practitioners & affiliated clinicians

Practitioners 1

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1013175132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY",
            "address_2": "SUITE 203",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLDE WATERFORD WAY",
            "address_2": "SUITE 203",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514125",
            "telephone_number": "910-383-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELAND PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "AUSTRIA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-383-3883"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2001-00118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.