Individual provider Active NPI

Linda Ines Collazo-Batista, MD

  • Pediatrics Physician
  • Garner, NC
National Provider Identifier
1104921659
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006-01066 Issued in NC
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

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5908559MedicaidNC

Other names 1

  • Dr. Linda I. Collazo Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327002684 NC Practitioner - Pediatric Medicine 9830474220 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062940MDMDPediatrics Physician
2006-01066NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC Pediatrics CurrentSince Mar 1, 2017 Accepting new patients
Unc Physicians Network, LLC CurrentSince Mar 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.