Active NPI
David Charles Pettigrew, M.D.
- Pediatrics Physician
- Asheville, NC
National Provider Identifier
1124037692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201501886
- Practice address
- 509 Biltmore Ave
Asheville, NC 28801 - Phone
- (828) 213-1740
- Fax
- (828) 213-1742
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME91053 | FL | |
| Pediatrics Physician | 208000000X | 201501886 | NC | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 201501886 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2015-01886 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 70934 | FL |
Addresses
Primary practice location
509 Biltmore Ave
Asheville, NC 28801
Mailing address
50 Schenck Pkwy
Asheville, NC 28803-3499
Phone (828) 213-1740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270801900 | Medicaid | FL |
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 |
|---|---|---|---|
| 201501886 | NC | MD | Pediatrics Physician |
| 70934 | FL | MD | Pediatric Critical Care Medicine Physician |
| ME91053 | FL | MD | Pediatric Critical Care Medicine Physician |
| 2015-01886 | NC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Health Community Multispecialty Providers, LLC | Current | Accepting new patients | |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- dpettigrew71896@capefearvalley.direct-ci.com
- dpettigrew497862@direct.conehealth.com
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Internal Medicine Physician
- Arden, NC
- NPI 1366912586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1124037692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SCHENCK PKWY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288033499",
"telephone_number": "828-213-1740",
"fax_number": "828-213-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-213-1740",
"fax_number": "828-213-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIGREW",
"first_name": "DAVID",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME91053",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "201501886",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NC",
"license": "201501886",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2015-01886",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "70934",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270801900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.