Active NPI
Theresa McCarthy Flynn, M.D., M.P.H.
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1710929633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200200687
- Practice address
- 10 Sunnybrook Rd
WCHS Child Health Clinic
Raleigh, NC 27610-1808 - Phone
- (919) 250-4570
- Fax
- (919) 212-9325
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200200687 | NC | Primary |
Addresses
Primary practice location
10 Sunnybrook Rd
WCHS Child Health Clinic
Raleigh, NC 27610-1808
Mailing address
10 Sunnybrook Rd
Raleigh, NC 27610-1808
Phone (919) 414-0655
Other names 1
- Dr. Theresa Marie McCarthy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | theresa.flynn@wakegov.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200200687 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians, LLC | Pediatrics | Current | Accepting new patients |
| Wake Specialty Physicians, LLC | Pediatrics | Current | Accepting new patients |
| Wake Specialty Physicians LLC | Pediatrics | Current | Accepting new patients |
Locations
204 Medspring Dr
Clayton, NC 27520
Phone (910) 775-3130
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
Interoperability endpoints
- tflynn417805@directhisp.wakemed.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.
-
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
-
- Pediatrics Physician
- Clayton, NC
- NPI 1588216253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1710929633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101808",
"telephone_number": "919-414-0655",
"fax_number": "919-212-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SUNNYBROOK RD",
"address_2": "WCHS CHILD HEALTH CLINIC",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101808",
"telephone_number": "919-250-4570",
"fax_number": "919-212-9325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "THERESA",
"middle_name": "MCCARTHY",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200200687",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "theresa.flynn@wakegov.com",
"affiliation": "N",
"address_1": "10 Sunnybrook Rd",
"address_2": "WCHS Child Health Clinic",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "THERESA",
"last_name": "MCCARTHY",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.