Organization Active NPI

Asheville Pediatric Associates

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1447383773
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ASHEVILLE PEDIATRIC ASSOCIATES
Practice address
2 Medical Park Dr
Suite 1000
Asheville, NC 28803-7782
Phone
(828) 254-5326
Fax
(828) 251-5954
NPI assigned
Mar 14, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Mrs. Margie Scully
Title
Practice Manager
Phone
(828) 254-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

2 Medical Park Dr
Suite 1000
Asheville, NC 28803-7782

Mailing address

2 Medical Park Dr
Suite 1000
Asheville, NC 28803-2493
Phone (828) 254-5326

Other identifiers 1

IdentifierTypeStateIssuer
8901065MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922002497 NC Part B Supplier - Clinic/Group Practice 1254648322 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0248205Asheville Pediatric Associates2 Medical Park Drive Suite 1000, Asheville, NC 28803AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

1998 Hendersonville Rd
Ste 35
Asheville, NC 28803

2 Medical Park Dr
Ste 1000
Asheville, NC 28803
Phone (828) 254-5326

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1447383773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 1000",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-254-5326",
            "fax_number": "828-251-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR",
            "address_2": "SUITE 1000",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288037782",
            "telephone_number": "828-254-5326",
            "fax_number": "828-251-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEVILLE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-254-5326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901065",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.