Living Well Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LIVING WELL PEDIATRICS, PC

Practice address

289 Olmsted Blvd
Unit 3, Ste 5
Pinehurst, NC 28374-8730

Phone

(910) 541-5880

Fax

(910) 240-9469

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Warren Charles Johnson III, MDNPI 1245232123

Title

Ceo

Phone

(816) 200-4491

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Warren Charles Johnson III, M.D.

  • Pediatrics Physician
  • Raeford, NC
  • NPI 1245232123
  NPD Authorized official
• Bayley Colt

  • Pediatric Nurse Practitioner
  • Pinehurst, NC
  • NPI 1083323547
  NPD (past)
• Alexandria P Ross, NP

  • Nurse Practitioner
  • Hamlet, NC
  • NPI 1134603996
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1669171369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OAKHURST VISTA",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "27376",
            "telephone_number": "816-200-4491",
            "fax_number": "910-240-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD",
            "address_2": "UNIT 3, STE 5",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748730",
            "telephone_number": "910-541-5880",
            "fax_number": "910-240-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-200-4491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lil Bo Peep 3D-4D Ultrasound and Boutique
• Judy Ann Lilly-Riggsbee, CFM
• Zachary Lilly, DPT
• Linda L. Jingle, MD, PLLC
• Kieyona Dana' Little
• Renee Lloyd
• Lauren Nichol Locklear
• Lori Locklear
• Raniya Locklear
• Sandra Loftus

• Pediatrics Physician in Pinehurst, NC
• Providers in Pinehurst, 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 Mar 1, 2023; 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.