Individual provider Active NPI

Nikki Javia, MD

  • Pediatric Adolescent Medicine Physician
  • Raleigh, NC
National Provider Identifier
1730716366
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
2023-02811 Issued in NC
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.

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

LicenseStateTypeSpecialty
ME161437FLMDPediatrics Physician
2023-02811NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA Adolescent Medicine CurrentSince Jul 2, 2023 Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001

Interoperability endpoints

  • Direct secure messaging: nikkijavia@jmp.allscriptsdirect.net

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME161437 FL
Pediatrics Physician 208000000X 2023-02811 NC
Pediatric Adolescent Medicine Physician 2080A0000X 2023-02811 NC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.