Columbus Pediatrics & Adolescent Care PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

36388 Issued in NC

Legal business name

COLUMBUS PEDIATRICS & ADOLESCENT CARE PA

Practice address

800 Jefferson St
Suite 116
Whiteville, NC 28472-3710

Phone

(910) 642-2642

Fax

(910) 642-3346

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Coy Randolph Matthews, M.D.NPI 1528028149

Title

President of Corporation

Phone

(910) 642-2642

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Coy Randolph Matthews, MD

  • Pediatrics Physician
  • Dodge City, KS
  • NPI 1528028149
  Authorized official Same address or phone

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1447210976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST",
            "address_2": "SUITE 116",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723702",
            "telephone_number": "910-642-2642",
            "fax_number": "910-642-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST",
            "address_2": "SUITE 116",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723710",
            "telephone_number": "910-642-2642",
            "fax_number": "910-642-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS PEDIATRICS & ADOLESCENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "COY",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "910-642-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "36388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902340",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Emergency Group LLC
• Columbus Eye Associates OD PA
• Columbus Group Homes, Inc.
• Columbus Internal Medicine PC
• Columbus Pediatric Therapy, Inc.
• Columbus Regional Diagnostics (Advanced Imaging)
• Columbus Regional Health Network (Columbus Regional Urgent Care)
• Columbus Regional Health Network (Advanced Family Care)
• Columbus Regional Health Network (Advanced Primary Care)
• Columbus Regional Health Network (Advanced Orthopedics)

• Primary Care Clinic/Center in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.