Individual provider Active NPI

Charita Yiangopoullou Csiky, MD

  • Pediatrics Physician
  • Whiteville, NC
National Provider Identifier
1194773937
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2013-01180 Issued in NC
Practice address
612 Jefferson St
Suite 28
Whiteville, NC 28472-3708
Phone
(910) 640-4064
Fax
(910) 640-4063
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 25MA07792700 NJ
Pediatrics Physician 208000000X 2013-01180 NC Primary

Addresses

Primary practice location

612 Jefferson St
Suite 28
Whiteville, NC 28472-3708

Mailing address

PO Box 602530
Charlotte, NC 28260-2530
Phone (910) 640-4064

Other identifiers 2

IdentifierTypeStateIssuer
NC2010MedicaidSC
1194773937MedicaidNC

Other names 1

  • Dr. Charita (Rita) Yiangopoullou Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-01180NCMDPediatrics Physician
25MA07792700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Affiliates PA Pediatrics Current Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC Pediatrics Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/
  • Direct secure messaging: charitacsiky@pediatricaff.allscriptsdirect.net

Organizations & group practices 4

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": "1398124800000",
    "number": "1194773937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602530",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602530",
            "telephone_number": "910-640-4064",
            "fax_number": "910-640-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 JEFFERSON ST",
            "address_2": "SUITE 28",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723708",
            "telephone_number": "910-640-4064",
            "fax_number": "910-640-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSIKY",
        "first_name": "CHARITA",
        "middle_name": "YIANGOPOULLOU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07792700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2013-01180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2010",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194773937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITA (RITA)",
            "last_name": "YIANGOPOULLOU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.