Legacy Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200000824 Issued in NC

Legal business name

LEGACY PEDIATRICS

Practice address

556 Sandhurst Dr
Fayetteville, NC 28304-4426

Phone

(910) 483-2646

Fax

(910) 483-9470

NPI assigned

Jun 30, 2009

Last updated

Jul 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ana Ceide Hodges, M.D.NPI 1306809926

Title

Owner/Practitioner

Phone

(910) 483-2646

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ana Ceide Hodges, M.D.

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1306809926
  Authorized official Same address or phone

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1699903542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-2646",
            "fax_number": "910-483-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-2646",
            "fax_number": "910-483-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "CEIDE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "910-483-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200000824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Ann Leese-Roberts, LCSW
• Elizabeth Clare Lefavor, LCMHC-A
• Legacii Car Sharing Services LLC
• Legacy Counseling & Consulting Group, PLLC
• Legacy Healthcare Services Inc.
• Legacy Therapeutic Interventions, PLLC
• Audrey Rose Reyes Legasto, PT, DPT
• Briana Leger, RDH
• Emma Riuka Leibowicz, OTR/L
• Lori Ann Leineke, DPT

• Pediatrics Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.