Sanford Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SANFORD PEDIATRICS, P.A.

Practice address

1801 Doctors Dr
Sanford, NC 27330-5067

Phone

(919) 774-7117

Fax

(919) 776-6715

NPI assigned

Mar 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tommie T Angel

Title

Practice Manager

Phone

(919) 774-7117

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Ajenadoro Ufuoma Agbadudu, M.D.

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1366624181
  NPD (past)
• Radha Chandana Guddati, M.D

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1316156359
  NPD (past)
• Cary Keifer, M.D.

  • Pediatric Adolescent Medicine Physician
  • Sanford, NC
  • NPI 1386861219
  NPD (past)
• Mindy Deason Marlowe, M.D.

  • Pediatrics Physician
  • Sanford, NC
  • NPI 1417118878
  NPD (past)
• Jennifer E McCord, MD

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1720296627
  NPD (past)
• Tammy Lynn Morris Lloyd, M.D.

  • Pediatric Adolescent Medicine Physician
  • Sanford, NC
  • NPI 1730306564
  NPD (past)
• Tiffany Jones Petty, M.D.

  • Pediatrics Physician
  • Sanford, NC
  • NPI 1366760001
  NPD (past)
• Mitchell C Reese, MD

  • Pediatric Adolescent Medicine Physician
  • Sanford, NC
  • NPI 1922098490
  NPD (past)
• Andrew M Huss, MD

  • Pediatrics Physician
  • Franklin, TN
  • NPI 1235129636
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356300248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-774-7117",
            "fax_number": "919-776-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-774-7117",
            "fax_number": "919-776-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "TOMMIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-774-7117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902612",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanford Health and Rehabilitation Co LLC
• Sanford Manor, LLC
• Sanford Medical Group, P.a.
• Sanford Nephrology Clinic PA
• Sanford Optometric OD PA (Carolina Vision Associates)
• Sanford Pharmacy LLC
• Sanford Psychiatric Group, PA
• Sanford Sandhills Emergency Physicians, P.C.
• Sanford Senior Living, LLC
• Sanford Surgical Specialties, P.a.

• Pediatrics Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.