Individual provider Active NPI

Theresa McCarthy Flynn, M.D., M.P.H.

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1710929633
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200200687 Issued in NC
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

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525000980 NC Practitioner - Pediatric Medicine 4082092473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200687NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians, LLC Pediatrics CurrentSince Jul 11, 2022 Accepting new patients
Wake Specialty Physicians, LLC Pediatrics Current Accepting new patients
Wake Specialty Physicians LLC Pediatrics CurrentSince Jul 11, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.