Eastern Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

970062 Issued in NC

Legal business name

EASTERN PEDIATRICS, P.A.

Practice address

1901 Stonehenge Dr
Greenville, NC 27858-5067

Phone

(252) 561-7777

Fax

(252) 561-7778

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yoicha G Ray

Title

Administrative/Financial Supervisor

Phone

(252) 561-7777

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Brooke Ange Cox, FNP-C

  • Family Nurse Practitioner
  • Washington, NC
  • NPI 1659057701

  Pediatrics

  NPD
• Erin Kathleen Lucas, FNP-BC

  • Family Nurse Practitioner
  • Greenville, NC
  • NPI 1457637035
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1811024979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 STONEHENGE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585067",
            "telephone_number": "252-561-7777",
            "fax_number": "252-561-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 STONEHENGE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585067",
            "telephone_number": "252-561-7777",
            "fax_number": "252-561-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-10-09",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "YOICHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATIVE/FINANCIAL SUPERVISOR",
        "authorized_official_telephone_number": "252-561-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "970062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950204",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2348101",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Nephrology Associates ASC LLC
• Eastern Nephrology Associates PLLC
• Eastern Neurosurgical and Spine Associates
• Eastern Neurosurgical and Spine Associates, Inc.
• Eastern Oncology & Hematology
• Eastern Physical Medicine & Rehabilitation, LLC
• Eastern Podiatry PA
• Eastern Psychiatric & Behavioral Specialists, PLLC
• Eastern Psychiatric & Behavioral Specialists, PLLC
• Eastern Radiologists Inc

• Pediatrics Physician in Greenville, NC
• Providers in Greenville, 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 Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.