Active NPI
Linda Ines Collazo-Batista, MD
- Pediatrics Physician
- Garner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2006-01066
- Practice address
- 810 Timber Dr
Garner, NC 27529-4850 - Phone
- (984) 215-4560
- Fax
- (984) 215-4561
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0062940 | MD | |
| Pediatrics Physician | 208000000X | 2006-01066 | NC | Primary |
Addresses
Primary practice location
810 Timber Dr
Garner, NC 27529-4850
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908559 | Medicaid | NC |
Other names 1
- Dr. Linda I. Collazo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcollazobatista74851@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062940 | MD | MD | Pediatrics Physician |
| 2006-01066 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Pediatrics | Current | Accepting new patients |
| Unc Physicians Network, LLC | Current | Accepting new patients |
Locations
6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997
1515 SW Cary Pkwy
Ste 220
Cary, NC 27511
Phone (919) 337-3160
1515 SW Cary Pkwy
Ste 130
Cary, NC 27511
Phone (919) 387-3180
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
810 Timber Dr
Garner, NC 27529
Phone (302) 530-5750
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
11200 Governor Manly Way
Ste 205
Raleigh, NC 27614
Phone (919) 570-5900
Interoperability endpoints
- lcollazobatista74851@direct.unc.nchie.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UNC Family Medicine at Pittsboro
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
dba Rex Family Practice of Wakefield
- Family Medicine Physician
- Raleigh, NC
- NPI 1376841874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1104921659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 TIMBER DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275294850",
"telephone_number": "984-215-4560",
"fax_number": "984-215-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO-BATISTA",
"first_name": "LINDA",
"middle_name": "INES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0062940",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2006-01066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908559",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcollazobatista74851@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "810 Timber Dr",
"city": "Garner",
"state": "NC",
"country_code": "US",
"postal_code": "275294850",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LINDA",
"last_name": "COLLAZO",
"middle_name": "I.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.