Individual provider Active NPI

Celecia Byfield, M.D.

  • Pediatrics Physician
  • Reidsville, NC
National Provider Identifier
1548556228
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2024-02708 Issued in NC
Practice address
1816 Richardson Dr
Reidsville, NC 27320-5434
Phone
(336) 634-3902
Fax
(336) 634-3933
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 265858 NY
Pediatrics Physician 208000000X 2024-02708 NC Primary

Addresses

Primary practice location

1816 Richardson Dr
Reidsville, NC 27320-5434

Mailing address

55 Bennett Ave Apt 2
Yonkers, NY 10701-6379

Other practice location 1

8211 37th Ave Fl 5
Jackson Heights, NY 11372-7010
Phone (718) 567-5200

Other identifiers 1

IdentifierTypeStateIssuer
03484484MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204002488 TX Practitioner - Pediatric Medicine 7911333281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024-02708NCMDPediatrics Physician
265858NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Community Healthcare Services CurrentSince Nov 15, 2019 Accepting new patients
Midland Community Healthcare Services CurrentSince Nov 15, 2019 Accepting new patients
Apicha Community Health Center CurrentSince Dec 1, 2023 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

8211 37th Ave
Fl 5
Jackson Heights, NY 11372
Phone (718) 269-4940

2500 Delano Ave
Fl 1
Midland, TX 79701

2500 Delano Ave
Midland, TX 79701
Phone (432) 697-4747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1548556228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BENNETT AVE APT 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 RICHARDSON DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205434",
            "telephone_number": "336-634-3902",
            "fax_number": "336-634-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8211 37th Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727010",
            "country_code": "US",
            "telephone_number": "718-567-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYFIELD",
        "first_name": "CELECIA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "265858",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2024-02708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03484484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.