NPIMap

Kidzcare Pediatrics, PC

Organization Active NPI Pediatrics Physician · Greensboro, NC

NPI 1184016552 · NPPES record last updated Nov 14, 2022

Key facts

NPI
1184016552
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
KIDZCARE PEDIATRICS, PC
Practice address
4095 Battleground Ave
Greensboro, NC 27410-8410
Phone
(336) 763-9292
Fax
(336) 763-9491
NPI assigned
Feb 23, 2015
Organization subpart
No

Authorized official

Name
Shantae Renee Lockhart
Title
Credentialing Coordinator
Phone
(910) 483-7337

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners 6

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2094777Kidzcare Pediatrics, PC
4095 Battleground Avenue, Greensboro, NC 27410		Certificate of waiverApr 22, 2027

National Provider Directory

Tax ID family
Kidzcare Pediatrics PC (28 organizations share this tax ID)

Locations

4089 Battleground Ave
Greensboro, NC 27410

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

4095 Battleground Ave
Greensboro, NC 27410-8410

Mailing address

PO Box 9219
Fayetteville, NC 28311-9082
Phone (336) 763-9292

Other providers in Greensboro, NC

All providers in Greensboro, NC · Pediatrics Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.