NPIMap

Organization Active NPI

Pediatric Possibilities, P.a.

  • Specialist
  • Raleigh, NC
National Provider Identifier
1366534026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEDIATRIC POSSIBILITIES, P.A.
Practice address
7209 Creedmoor Rd Ste 101
Raleigh, NC 27613-1695
Phone
(919) 844-1100
Fax
(919) 844-1102
NPI assigned
Sep 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dawn M Rohlik, BS, OTR/LNPI 1376662585
Title
Director
Phone
(919) 844-1100

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

7209 Creedmoor Rd Ste 101
Raleigh, NC 27613-1695

Mailing address

7209 Creedmoor Rd Ste 101
Raleigh, NC 27613-1695
Phone (919) 844-1100

Other identifiers 2

IdentifierTypeStateIssuer
017KAOtherNCBCBS PROVIDER GROUPNUMBER
7211799MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Possibilities2 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

7209 Creedmoor Rd
Ste 101
Raleigh, NC 27613
Phone (919) 844-1100

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366534026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131695",
            "telephone_number": "919-844-1100",
            "fax_number": "919-844-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 CREEDMOOR RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131695",
            "telephone_number": "919-844-1100",
            "fax_number": "919-844-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC POSSIBILITIES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROHLIK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-844-1100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GROUPNUMBER",
            "identifier": "017KA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211799",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.