Charles G Pierce, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22162 Issued in NC

Practice address

201 Colony Ave S
Ahoskie, NC 27910-3207

Phone

(252) 332-5041

Fax

(252) 332-6115

NPI assigned

Dec 22, 2005

Last updated

Jul 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Carolina Pediatrics, PA

  • Pediatrics Physician
  • Ahoskie, NC
  • NPI 1649230921
  NPD (past) Authorized official

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1558347484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COLONY AVE S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103207",
            "telephone_number": "252-332-5041",
            "fax_number": "252-332-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLONY AVE S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103207",
            "telephone_number": "252-332-5041",
            "fax_number": "252-332-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CHARLES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "22162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas E. Parrish, P.A.-C
• David Jason Perdue, MSW, LCSW
• Mary Kathleen Boone Perry, FNP
• Romel G Perry, FNP-BC
• Gregory R Phillips, CRNA
• Mary Walters Pierce, MS CCC SLP
• Pinewood Manor Assisted Linving, Inc.
• Place of Purpose
• Polished Pearls Counseling and Coaching Services PLLC
• Port Health Services

• Pediatrics Physician in Ahoskie, NC
• Providers in Ahoskie, 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 1, 2013; 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.