Halifax Pediatrics, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

28419 Issued in NC

Legal business name

HALIFAX PEDIATRICS, P.A.

Practice address

529 Becker Dr
Roanoke Rapids, NC 27870-3303

Phone

(252) 537-1400

Fax

(252) 537-4936

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Paulette K. Ingram, M.D.

Title

President

Phone

(252) 537-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1821214552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "address_2": "529 BECKER DRIVE",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700787",
            "telephone_number": "252-537-1400",
            "fax_number": "252-537-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703303",
            "telephone_number": "252-537-1400",
            "fax_number": "252-537-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-537-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "28419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halifax Eye Center PA
• Halifax Gastroenterology PC
• Halifax Medical Specialists PA
• Halifax Northampton Internal Medicine, PA
• Halifax Orthopaedic & Hand Surgery Clinic PA
• Halifax Psychiatry
• Halifax Regional Medical Center
• Halifax Regional Medical Center
• Halifax Regional Medical Center Crna Billing
• Halifax Regional Medical Center Emergency Physicians Billing

• Primary Care Clinic/Center in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.