Active NPI
Nikki Javia, MD
- Pediatric Adolescent Medicine Physician
- Raleigh, NC
National Provider Identifier
1730716366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2023-02811
- Practice address
- 2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692 - Phone
- (919) 786-5001
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Raleigh, NC
- NPI 1962466631
Adolescent Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME161437 | FL | MD | Pediatrics Physician |
| 2023-02811 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffers Mann & Artman Pediatric & Adolesent Medicine PA | Adolescent Medicine | Current | Accepting new patients |
Locations
2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001
Interoperability endpoints
- nikkijavia@jmp.allscriptsdirect.net
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME161437 | FL | |
| Pediatrics Physician | 208000000X | 2023-02811 | NC | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2023-02811 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692
Mailing address
2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2024.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1730716366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 BLUE RIDGE RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 BLUE RIDGE RD STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076692",
"telephone_number": "919-786-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVIA",
"first_name": "NIKKI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2024-04-26",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME161437",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2023-02811",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NC",
"license": "2023-02811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.