NPIMap

Organization Active NPI

Growing Up Pediatrics

  • Pediatrics Physician
  • Cornelius, NC
National Provider Identifier
1699735951
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GROWING UP PEDIATRICS
Practice address
8311 Magnolia Estates Dr
Suite E
Cornelius, NC 28031-8070
Phone
(704) 895-9060
Fax
(704) 895-6494
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Valorie S Byrd, R.NNPI 1144626003
Title
Office Manager
Phone
(704) 895-9060

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8311 Magnolia Estates Dr
Suite E
Cornelius, NC 28031-8070

Mailing address

8311 Magnolia Estates Dr
Suite E
Cornelius, NC 28031-8070
Phone (704) 895-9060

Other identifiers 1

IdentifierTypeStateIssuer
89011G6MedicaidNC

National Provider Directory

National Provider Directory

Locations

8311 Magnolia Estates Dr
Ste E
Cornelius, NC 28031
Phone (704) 895-9060

8301 Magnolia Estates Dr
Ste 17
Cornelius, NC 28031
Phone (704) 895-9060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3672/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1699735951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 MAGNOLIA ESTATES DR",
            "address_2": "SUITE E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318070",
            "telephone_number": "704-895-9060",
            "fax_number": "704-895-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 MAGNOLIA ESTATES DR",
            "address_2": "SUITE E",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318070",
            "telephone_number": "704-895-9060",
            "fax_number": "704-895-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING UP PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "VALORIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-895-9060",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011G6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.