NPIMap

Organization Active NPI

Child Medical Collaborative Inc

  • Child Abuse Pediatrics Physician
  • Sylva, NC
National Provider Identifier
1619619186
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
Legal business name
CHILD MEDICAL COLLABORATIVE INC
Practice address
20 Colonial SQ
Sylva, NC 28779-5147
Phone
(828) 586-3574
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Renee Coward
Title
Executive Director/Awake
Phone
(828) 586-3574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Abuse Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080C0008X Primary

Addresses

Primary practice location

20 Colonial SQ
Sylva, NC 28779-5147

Mailing address

PO Box 755
Sylva, NC 28779-0755
Phone (828) 586-3574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1619619186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790755",
            "telephone_number": "828-586-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COLONIAL SQ",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795147",
            "telephone_number": "828-586-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD MEDICAL COLLABORATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/AWAKE",
        "authorized_official_telephone_number": "828-586-3574"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.