Individual provider Active NPI

Terry C. Childers, M.D.

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1083662829
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28953 Issued in NC
Practice address
500 Centre Park Dr
Asheville, NC 28805-1262
Phone
(828) 254-4337
Fax
(828) 251-9240
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28953 NC Primary

Addresses

Primary practice location

500 Centre Park Dr
Asheville, NC 28805-1262

Mailing address

500 Centre Park Dr
Asheville, NC 28805-1262
Phone (828) 254-4337

Other identifiers 1

IdentifierTypeStateIssuer
8922341MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150109002150 NC Practitioner - Pediatric Medicine 6901129485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28953NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Area Pediatric Associates, P.a. Pediatrics CurrentSince Jan 1, 2015 Accepting new patients

Locations

500 Centrepark Dr
Asheville, NC 28805
Phone (828) 254-4337

Interoperability endpoints

  • Direct secure messaging: terry.childers.1@30671.direct.athenahealth.com
  • Direct secure messaging: terrychilders@map.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083662829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENTRE PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051262",
            "telephone_number": "828-254-4337",
            "fax_number": "828-251-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CENTRE PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051262",
            "telephone_number": "828-254-4337",
            "fax_number": "828-251-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "TERRY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "28953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.