NPIMap

Organization Active NPI

Greenville Pediatric Services, Inc

  • Pediatrics Physician
  • Greenville, NC
National Provider Identifier
1679542971
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GREENVILLE PEDIATRIC SERVICES, INC
Practice address
300 Bethesda Dr
Greenville, NC 27834-7218
Phone
(252) 752-7141
Fax
(252) 752-0223
NPI assigned
Mar 17, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Frances Meadows
Title
Manager
Phone
(252) 752-7141

Specialties & licenses 1

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

Addresses

Primary practice location

300 Bethesda Dr
Greenville, NC 27834-7218

Mailing address

300 Bethesda Dr
Greenville, NC 27834-7218
Phone (252) 752-7141

Other identifiers 2

IdentifierTypeStateIssuer
01682OtherNCBLUE CROSS BLUE SHIELD OF
8901682MedicaidNC

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
34D0241986Greenville Pediatric Services, Inc300 Bethesda Drive, Greenville, NC 27834ComplianceJun 14, 2028

National Provider Directory

National Provider Directory

Locations

3444 South Contentnea St
Farmville, NC 27828

300 Bethesda Dr
Greenville, NC 27834
Phone (252) 752-7141

623 Old Tar Village Rd
Winterville, NC 28590

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1679542971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347218",
            "telephone_number": "252-752-7141",
            "fax_number": "252-752-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347218",
            "telephone_number": "252-752-7141",
            "fax_number": "252-752-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PEDIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-752-7141"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "01682",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901682",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.