NPIMap

Organization Active NPI

Cherokee Pediatric Associates

Doing business as Carolina Pediatric Associates

  • Preferred Provider Organization
  • Blacksburg, SC
National Provider Identifier
1811960248
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
23503 Issued in SC
Legal business name
CHEROKEE PEDIATRIC ASSOCIATES
Doing business as
Carolina Pediatric Associates
Practice address
301 W Pine St
Blacksburg, SC 29702-1549
Phone
(864) 839-4325
Fax
(864) 839-9901
NPI assigned
Feb 8, 2006
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Daren E Carling, M.D.NPI 1164495594
Title
Owner
Phone
(864) 839-4325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 23503 SC Primary

Addresses

Primary practice location

301 W Pine St
Blacksburg, SC 29702-1549

Mailing address

301 W Pine St
Blacksburg, SC 29702-1549
Phone (864) 839-4325

Other identifiers 1

IdentifierTypeStateIssuer
GP3830MedicaidSC

Other names 1

  • Carolina Pediatric Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Pediatric Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1811960248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PINE ST",
            "city": "BLACKSBURG",
            "state": "SC",
            "postal_code": "297021549",
            "telephone_number": "864-839-4325",
            "fax_number": "864-839-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W PINE ST",
            "city": "BLACKSBURG",
            "state": "SC",
            "postal_code": "297021549",
            "telephone_number": "864-839-4325",
            "fax_number": "864-839-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "CARLING",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-839-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "23503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3830",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.