Sunshine Pediatrics & Adolescent Care, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUNSHINE PEDIATRICS & ADOLESCENT CARE, P.A.

Practice address

1631 Midtown PL
Suite 107
Raleigh, NC 27609-1300

Phone

(919) 876-1515

Fax

(919) 876-5656

NPI assigned

Aug 22, 2006

Last updated

Jul 21, 2022By 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

Mr. Marcus W Gillikin, MD, MBA

Title

Consultant

Phone

(252) 353-7162

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sunshine Pediatric and Adolescent Care2 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.

• Sunshine Pediatric and Adolescent Care

  • Pediatric Adolescent Medicine Physician
  • Raleigh, NC
  • NPI 1740622166
  NPD tax ID

Locations

Practitioners 2

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.

• Stephanie Melba Martinez, M.S.P.H, M.H.S, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1174921241
  NPD (past)
• Albertina D Smith-Banks, MD

  • Pediatrics Physician
  • Hemet, CA
  • NPI 1386759108
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366558025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30696",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330696",
            "telephone_number": "252-353-7162",
            "fax_number": "252-353-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL",
            "address_2": "SUITE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "919-876-1515",
            "fax_number": "919-876-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS & ADOLESCENT CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILLIKIN",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "252-353-7162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977389",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Dental
• Sunrise Pediatric Associates PA
• Sunrize Care Transportation LLC
• Sunshine Advantage of NC LLC
• Sunshine Pediatric and Adolescent Care
• Sierra M. Sunshine, MS, CCC-SLP
• Sunstone Counseling, LLC
• Rachel Sunukjian, MS,LPC,CRC
• Superior Diagnostic Imaging Inc
• Superior Healthcare Physical Medicine of North Hills PC

• Pediatrics Physician in Raleigh, NC
• Providers in Raleigh, 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 Jul 21, 2022; 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.