Active NPI
Hanover Pediatrics
- Primary Care Clinic/Center
- Wilmington, NC
National Provider Identifier
1669907929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 200401564
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396721858 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2134121 | Hanover Pediatrics | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Wilmington, NC
- NPI 1396721858
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.