Organization Active NPI

Hanover Pediatrics

  • Primary Care Clinic/Center
  • Wilmington, NC
National Provider Identifier
1669907929
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
200401564 Issued in NC
Legal business name
HANOVER PEDIATRICS
Practice address
3505 Converse Rd Ste 200
Wilmington, NC 28403-6132
Phone
(910) 769-4994
Fax
(910) 769-9254
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Hoke Ward Pollock, M.D.NPI 1396721858
Title
Managing Member
Phone
(910) 620-2259

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
Primary Care Clinic/Center 261QP2300X 200401564 NC Primary

Addresses

Primary practice location

3505 Converse Rd Ste 200
Wilmington, NC 28403-6132

Mailing address

3505 Converse Rd Ste 200
Wilmington, NC 28403-6132
Phone (910) 769-4994

Other identifiers 1

IdentifierTypeStateIssuer
1396721858MedicaidNC

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
34D2134121Hanover Pediatrics3505 Converse Drive, Suite 200, Wilmington, NC 28403Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1669907929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036132",
            "telephone_number": "910-769-4994",
            "fax_number": "910-769-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE RD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036132",
            "telephone_number": "910-769-4994",
            "fax_number": "910-769-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "HOKE",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "910-620-2259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "200401564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396721858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.