Individual provider Active NPI

Carrington Pace Wells, MD

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1649349531
Registry record updated Nov 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
98-01555 Issued in NC
Practice address
1557 Fullerton PL
Raleigh, NC 27607
Phone
(919) 818-0966
NPI assigned
Nov 7, 2006
Last updated
Nov 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 98-01555 NC Primary

Addresses

Primary practice location

1557 Fullerton PL
Raleigh, NC 27607

Mailing address

1557 Fullerton PL
Raleigh, NC 27607-6066
Phone (919) 818-0966

Other practice location 1

1655 Wake Drive
Suite 101
Wake Forest, NC 27587
Phone (919) 556-4779

Other names 1

  • Carrington Wells White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-01555NCMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1649349531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 FULLERTON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076066",
            "telephone_number": "919-818-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 FULLERTON PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-818-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Wake Drive",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "27587",
            "country_code": "US",
            "telephone_number": "919-556-4779",
            "fax_number": "919-556-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "CARRINGTON",
        "middle_name": "PACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "98-01555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRINGTON",
            "last_name": "WHITE",
            "middle_name": "WELLS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; 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.