Individual provider Active NPI

Beatriz Juncadella

  • Pediatrics Physician
  • Thomasville, NC
National Provider Identifier
1265400998
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Practice address
200 Arthur Dr
Thomasville, NC 27360-6275
Phone
(336) 475-2348
Fax
(336) 475-2100
NPI assigned
Mar 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NC Primary

Addresses

Primary practice location

200 Arthur Dr
Thomasville, NC 27360-6275

Mailing address

200 Arthur Dr
Thomasville, NC 27360-6275
Phone (336) 475-2348

Other identifiers 1

IdentifierTypeStateIssuer
5901410MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000332 NC Practitioner - Pediatric Medicine 5597783290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200500719NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomasville-Archdale Pediatrics, PLLC Pediatrics CurrentSince May 1, 2016 Accepting new patients
Thomasville/Archdale Pediatrics PLLC PastSince Jan 1, 1990 Accepting new patients

Locations

200 Arthur Dr
Thomasville, NC 27360
Phone (336) 475-2348

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Novant Health Thomasville Medical CenterThomasville, NC, CCN 340085 Hospital Corporate Director Jan 1, 2021
Novant Health Behavioral HealthThomasville, NC, CCN 34S085 Hospital Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265400998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARTHUR DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606275",
            "telephone_number": "336-475-2348",
            "fax_number": "336-475-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARTHUR DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606275",
            "telephone_number": "336-475-2348",
            "fax_number": "336-475-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNCADELLA",
        "first_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901410",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.