Individual provider Active NPI

Uma Periyanayagam, M.D

  • Pediatrics Physician
  • Huntersville, NC
National Provider Identifier
1700112612
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2012-00678 Issued in NC
Practice address
10115 Kincey Ave Ste 148
Huntersville, NC 28078-6482
Phone
(704) 804-4374
Fax
(704) 288-4876
NPI assigned
Oct 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34525 SC
Pediatrics Physician 208000000X 2012-00678 NC Primary

Addresses

Primary practice location

10115 Kincey Ave Ste 148
Huntersville, NC 28078-6482

Mailing address

6622 Fox Ridge Cir
Davidson, NC 28036-8089
Phone (252) 412-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211002464 NC Practitioner - Pediatric Medicine 3274877683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012-00678NCMDPediatrics Physician
34525SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC Family Medicine CurrentSince Dec 10, 2023 Accepting new patients
NH Digital Health Services, LLC CurrentSince Dec 10, 2023 Accepting new patients
Pediatric Consultant and Professional Writing Services, PLLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

10115 Kincey Ave
Ste 148
Huntersville, NC 28078
Phone (704) 804-4374

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

Interoperability endpoints

  • Direct secure messaging: uperiyanayagam1240428@direct.novanthealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1700112612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 FOX RIDGE CIR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368089",
            "telephone_number": "252-412-1838",
            "fax_number": "980-452-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 KINCEY AVE STE 148",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786482",
            "telephone_number": "704-804-4374",
            "fax_number": "704-288-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIYANAYAGAM",
        "first_name": "UMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "34525",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-00678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.