NPIMap

Organization Active NPI

Carolina Pediatrics

  • Point of Service
  • Wilmington, NC
National Provider Identifier
1346201340
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
28410 Issued in NC
Legal business name
CAROLINA PEDIATRICS
Practice address
715 Medical Center Dr
Wilmington, NC 28401-7574
Phone
(910) 763-2476
Fax
(910) 763-8176
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Mary Leigh Forehand, MDNPI 1134181225
Title
Managing Partner
Phone
(910) 763-2476

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
Point of Service 305S00000X 28410 NC Primary

Addresses

Primary practice location

715 Medical Center Dr
Wilmington, NC 28401-7574

Mailing address

715 Medical Center Dr
Wilmington, NC 28401-7574
Phone (910) 763-2476

Other practice location 1

1628 Doctors Cir
Wilmington, NC 28401-7406
Phone (910) 763-2476

National Provider Directory

National Provider Directory
Tax ID family
Carolina 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.

Locations

16747 US Highway 17
Bldg 16
Hampstead, NC 28443

715 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-2476

1628 Doctors Cir
Wilmington, NC 28401
Phone (910) 763-2476

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1346201340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017574",
            "telephone_number": "910-763-2476",
            "fax_number": "910-763-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017574",
            "telephone_number": "910-763-2476",
            "fax_number": "910-763-8176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 Doctors Cir",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017406",
            "country_code": "US",
            "telephone_number": "910-763-2476",
            "fax_number": "910-763-8176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "FOREHAND",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "910-763-2476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "28410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.