Children'S Health of Carolina, PA

Organization Active NPI Pediatrics Physician · Pembroke, NC

NPI 1750345286 · NPPES record last updated Mar 25, 2026

Key facts

NPI
1750345286
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CHILDREN'S HEALTH OF CAROLINA, PA
Practice address
812 Candy Park Rd
Pembroke, NC 28372-9129
Phone
(910) 521-0201
Fax
(910) 521-0773
NPI assigned
Apr 13, 2006
Organization subpart
Yes
Parent organization (as reported)
CHILDREN'S HEALTH OF CAROLINA PA

Authorized official

Name
Laura F Sealy
Title
Business Manager
Phone
(910) 739-3318

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0937680Children'S Health Pembroke
812 Candy Park Road, Pembroke, NC 28372
AccreditationOct 26, 2027

National Provider Directory

Tax ID family
Children'S Health of Carolina Dba Pembroke Pediatrics Mental Health (9 organizations share this tax ID)
Part of
Children'S Health of Carolina Dba Pembroke Pediatrics Mental Health

Locations

206 Southern Ave
Raeford, NC 28376
Phone (910) 565-0622

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

812 Candy Park Rd
Pembroke, NC 28372-9129

Mailing address

4305 Fayetteville Rd Ste a
Lumberton, NC 28358-2623
Phone (910) 739-3318

Other names

  • Children's Health Pembroke Doing business as

Other providers in Pembroke, NC

All providers in Pembroke, NC · Pediatrics Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.