Organization Active NPI

Neonatology & Pediatric Acute Care Specialists, PC

  • Specialist
  • Hickory, NC
National Provider Identifier
1831137330
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEONATOLOGY & PEDIATRIC ACUTE CARE SPECIALISTS, PC
Practice address
352 2ND St NW
Suite #205
Hickory, NC 28601
Phone
(828) 345-0877
Fax
(828) 345-0514
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Velvet H Carroll
Title
Office Manager
Phone
(828) 345-0877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

352 2ND St NW
Suite #205
Hickory, NC 28601

Mailing address

352 2ND St NW
Suite #205
Hickory, NC 28601-4960
Phone (828) 345-0877

Other identifiers 6

IdentifierTypeStateIssuer
9401361OtherNCSAMUEL D WELLMAN MD
1649254210OtherNCSAMUEL D WELLMAN MD
30288OtherNCDAVID D BERRY MD
7915180MedicaidNC
1457335028OtherNCDAVID D BERRY MD
8986457MedicaidNC

National Provider Directory

National Provider Directory

Locations

352 2nd St NW
Ste 205
Hickory, NC 28601
Phone (828) 345-0877

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831137330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 2ND ST NW",
            "address_2": "SUITE #205",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014960",
            "telephone_number": "828-345-0877",
            "fax_number": "828-345-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 2ND ST NW",
            "address_2": "SUITE #205",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-345-0877",
            "fax_number": "828-345-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATOLOGY & PEDIATRIC ACUTE CARE SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "VELVET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-345-0877"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL D WELLMAN MD",
            "identifier": "9401361",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMUEL D WELLMAN MD",
            "identifier": "1649254210",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID D BERRY MD",
            "identifier": "30288",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7915180",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID D BERRY MD",
            "identifier": "1457335028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986457",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.