Organization Active NPI

Carolina Kids Pediatrics, P.a.

  • Pediatrics Physician
  • Seneca, SC
National Provider Identifier
1477653723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23556 Issued in SC
Legal business name
CAROLINA KIDS PEDIATRICS, P.A.
Practice address
10706 Clemson Blvd
Seneca, SC 29678-4528
Phone
(864) 888-3020
Fax
(864) 888-8585
NPI assigned
Sep 25, 2006
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
James E Feiste, M.D.
Title
President/Medical Director
Phone
(864) 888-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 23556 SC Primary

Addresses

Primary practice location

10706 Clemson Blvd
Seneca, SC 29678-4528

Mailing address

10706 Clemson Blvd
Seneca, SC 29678-4528
Phone (864) 888-3020

National Provider Directory

National Provider Directory

Locations

10706 Clemson Blvd
Seneca, SC 29678
Phone (864) 512-8668

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477653723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 CLEMSON BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784528",
            "telephone_number": "864-888-3020",
            "fax_number": "864-888-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 CLEMSON BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784528",
            "telephone_number": "864-888-3020",
            "fax_number": "864-888-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA KIDS PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEISTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "864-888-3020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "23556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

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.