NPIMap

Organization Active NPI

Johnston County Pediatrics

  • Pediatrics Physician
  • Smithfield, NC
National Provider Identifier
1255499752
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29813 Issued in NC
Legal business name
JOHNSTON COUNTY PEDIATRICS
Practice address
11 Berkshire Rd
Smithfield, NC 27577-4748
Phone
(919) 934-0564
Fax
(919) 934-9703
NPI assigned
Dec 5, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Sally Lawson Carpenter, M.D.NPI 1831159391
Title
Pediatrician
Phone
(919) 934-0564

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 29813 NC Primary

Addresses

Primary practice location

11 Berkshire Rd
Smithfield, NC 27577-4748

Mailing address

11 Berkshire Rd
Smithfield, NC 27577-4748
Phone (919) 934-0564

Other identifiers 1

IdentifierTypeStateIssuer
98014WJMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Johnston County Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1255499752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774748",
            "telephone_number": "919-934-0564",
            "fax_number": "919-934-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774748",
            "telephone_number": "919-934-0564",
            "fax_number": "919-934-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNTY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "LAWSON",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "919-934-0564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "29813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98014WJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.