Prime Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9401399 Issued in NC

Legal business name

PRIME PEDIATRICS INC

Practice address

3415B Melrose Road
Fayetteville, NC 28304

Phone

(910) 437-9600

Fax

(910) 437-9801

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

Medhavini H Dhandha, MDNPI 1265403950

Title

President

Phone

(910) 437-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Medhavini Harkisan Dhandha, MD

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1265403950
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760453450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25756",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145012",
            "telephone_number": "910-437-9600",
            "fax_number": "910-437-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415B MELROSE ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-437-9600",
            "fax_number": "910-437-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHANDHA",
        "authorized_official_first_name": "MEDHAVINI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-437-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9401399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7928785",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prima Elements, LLC (prima elements holistic wellness center)
• Prima Transport and Delivery LLC (Prima Transport)
• Primary Health Choice, Inc.
• Primary Health Choice, Inc.
• Primary Health Choice, Inc.
• Emily Primeaux, IBCLC, RLC
• Lawrence Jamel Primus Sr.
• Janet Prince, BA
• Kathrynne Georgie Prince, DPT
• Printice Tarance Galbreath

• Pediatrics Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.