Organization Active NPI

Concierge Pediatrics LLC

Doing business as Paragon Pediatrics

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1649979626
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CONCIERGE PEDIATRICS LLC
Doing business as
Paragon Pediatrics
Practice address
494 Savannah Hwy Ste B
Charleston, SC 29407-7275
Phone
(843) 806-3135
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Dr. Juliette Catherine Walker, MDNPI 1164843991
Title
Employee
Phone
(561) 714-5122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

494 Savannah Hwy Ste B
Charleston, SC 29407-7275

Mailing address

494 Savannah Hwy Ste B
Charleston, SC 29407-7275

Other names 1

  • Paragon Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

494 Savannah Hwy
#B
Charleston, SC 29407
Phone (843) 806-3135

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1649979626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 SAVANNAH HWY STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SAVANNAH HWY STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077275",
            "telephone_number": "843-806-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "561-714-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.