Organization Active NPI

Mainstreet and Kidsstreet of North Carolina PLLC

  • Urgent Care Clinic/Center
  • Burlington, NC
National Provider Identifier
1063317865
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Practice address
1713 S Church St Ste a
Burlington, NC 27215-5630
Phone
(205) 545-5090
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Justin Ellis Huff
Title
VP of Revenue
Phone
(601) 503-6252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

1713 S Church St Ste a
Burlington, NC 27215-5630

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (601) 503-6252

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1063317865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "601-503-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S CHURCH ST STE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155630",
            "telephone_number": "205-545-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "601-503-6252"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.