Knox Clinic Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KNOX CLINIC PEDIATRICS

Practice address

2304 Delaney Rd
Wilmington, NC 28403-6013

Phone

(910) 763-3349

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Anmona Thacker

Title

MD

Phone

(910) 763-3349

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Nicole Evangeline Aristy, M.D.

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1174722987
  NPD (past)
• Lenard Joseph Edralin, MD

  • Legal Medicine
  • Wilmington, NC
  • NPI 1013116599
  NPD (past)
• Gregory A. Morter, M.D.

  • Legal Medicine
  • Wilmington, NC
  • NPI 1124040852
  NPD (past)
• Taylor Rippy

  • Pediatric Nurse Practitioner
  • Wilmington, NC
  • NPI 1538641147
  NPD (past)
• Svetlana Alexandra Staub, MD

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1447252234
  NPD (past)
• Franchesca Brown, M.D.

  • Pediatrics Physician
  • Conway, SC
  • NPI 1942271903
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063500908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013",
            "telephone_number": "910-763-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX CLINIC PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "ANMONA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "910-763-3349"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Chelsea Knight
• Tiffany Ellis Knight, LAT, ATC, OTC
• Susan Greenwood Knopf, OTA
• Lawrence Harding Knott Jr., M.D.
• Nicolee Knowles, LCSW,LCAS
• John Knox, PT
• Rokima Michelle Knox, PMHNP-BC
• Jade Ashley Knutson Day, LCAS, LPC
• April Koch, CRP
• Meagan Chaille Koch, LCMHCA, LMHC

• Specialist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.