Organization Active NPI

First Pediatric Care Center, P.a.

  • Pediatrics Physician
  • Gastonia, NC
National Provider Identifier
1194966903
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
119285 Issued in NC
Legal business name
FIRST PEDIATRIC CARE CENTER, P.A.
Practice address
2644 Court Drive
Gastonia, NC 28054-1449
Phone
(704) 868-3664
Fax
(704) 868-3665
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Margaret Lubega, M.D.NPI 1134233034
Title
Medical Director
Phone
(704) 868-3664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 119285 NC Primary

Addresses

Primary practice location

2644 Court Drive
Gastonia, NC 28054-1449

Mailing address

2644 Court Drive
Gastonia, NC 28054-1449
Phone (704) 868-3664

Other identifiers 2

IdentifierTypeStateIssuer
T73667MedicaidSC
89135MRMedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1020262First Pediatric Care Center, PA2644 Court Drive, Gastonia, NC 28054Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

2644 Court Dr
Gastonia, NC 28054
Phone (704) 868-3664

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1966/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1194966903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541449",
            "telephone_number": "704-868-3664",
            "fax_number": "704-868-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 COURT DRIVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541449",
            "telephone_number": "704-868-3664",
            "fax_number": "704-868-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PEDIATRIC CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "LUBEGA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-868-3664",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "119285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T73667",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135MR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.