Active NPI
Charita Yiangopoullou Csiky, MD
- Pediatrics Physician
- Whiteville, NC
National Provider Identifier
1194773937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2013-01180
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC2010 | Medicaid | SC | |
| 1194773937 | Medicaid | NC |
Other names 1
- Dr. Charita (Rita) Yiangopoullou
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-01180 | NC | MD | Pediatrics Physician |
| 25MA07792700 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- 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.
-
- Pediatrics Physician
- Toms River, NJ
- NPI 1669404018
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
- Family Medicine Physician
- Tabor City, NC
- NPI 1629318886
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Pediatrics
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.