NPIMap

Organization Active NPI

Holly Springs Pediatrics

  • Pediatrics Physician
  • Holly Springs, NC
National Provider Identifier
1558514752
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200601114 Issued in NC
Legal business name
HOLLY SPRINGS PEDIATRICS
Practice address
106 Hyannis Dr
Holly Springs, NC 27540-8327
Phone
(919) 249-4700
Fax
(919) 249-4701
NPI assigned
Oct 31, 2008
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Ms. Stacey Lynn Swartz-Smith
Title
Practice Administrator
Phone
(919) 249-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 200601114 NC Primary

Addresses

Primary practice location

106 Hyannis Dr
Holly Springs, NC 27540-8327

Mailing address

106 Hyannis Dr
Holly Springs, NC 27540-8327
Phone (919) 249-4700

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
34D1087244Holly Springs Pediatrics106 Hyannis Dr, Holly Springs, NC 27540Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

2021 Shepherds Vineyard Dr
Apex, NC 27502
Phone (919) 249-4700

106 Hyannis Dr
Holly Springs, NC 27540
Phone (919) 249-4700

106 Hyannis Dr
Ste A
Holly Springs, NC 27540

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1558514752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408327",
            "telephone_number": "919-249-4700",
            "fax_number": "919-249-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HYANNIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408327",
            "telephone_number": "919-249-4700",
            "fax_number": "919-249-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "SWARTZ-SMITH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-249-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200601114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.