Organization Active NPI

Premiere Pediatrics PLLC

  • Pediatrics Physician
  • Asheboro, NC
National Provider Identifier
1326208398
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PREMIERE PEDIATRICS PLLC
Practice address
530 Greensboro St
Asheboro, NC 27203-4737
Phone
(336) 625-0500
NPI assigned
Jun 13, 2008
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Mrs. Carolyn Barker Ward
Title
Office Manager
Phone
(336) 625-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

530 Greensboro St
Asheboro, NC 27203-4737

Mailing address

530 Greensboro St
Asheboro, NC 27203-4737
Phone (336) 625-0500

Other identifiers 1

IdentifierTypeStateIssuer
5919931MedicaidNC

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
34D1074762Premiere Pediatrics530 Greensboro Street, Asheboro, NC 27203Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

530 Greensboro St
Asheboro, NC 27203
Phone (336) 625-0500

Practitioners & affiliated clinicians

Practitioners 5

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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1326208398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GREENSBORO ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034737",
            "telephone_number": "336-625-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 GREENSBORO ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034737",
            "telephone_number": "336-625-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BARKER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-625-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919931",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.