Pineville Pediatrics,PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201001747 Issued in NC

Legal business name

PINEVILLE PEDIATRICS,PLLC

Practice address

10700 Kettering Dr
Suite D
Charlotte, NC 28226-3770

Phone

(704) 540-3036

NPI assigned

Jul 5, 2013

Organization subpart

No

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

Authorized official

Name

Satya Jammalamadaka

Title

MD

Phone

(704) 540-3036

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3077/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1679913651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR",
            "address_2": "SUITE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263770",
            "telephone_number": "704-540-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE PEDIATRICS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "JAMMALAMADAKA",
        "authorized_official_first_name": "SATYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "704-540-3036"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "201001747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916594",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Trent Pinckney, MD
• Pinebridge Health Services LLC
• Victor M Pineiro-Carrero, MD
• Pineville Dentistry
• Pineville Group Health, LLC
• Pineville Radiation Therapy Center, LLC
• Allison Ann Pingston, ATC, PA
• Alexis Piniewski
• Pink Bumblebee Transportation
• Pink Elephant

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.