Active NPI
Kaley Everhart Cucci, NP
- Pediatrics Physician
- Thomasville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5012814
- Practice address
- 200 Arthur Dr
Thomasville, NC 27360-6275 - Phone
- (336) 475-2348
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5012814 | NC | Primary |
Addresses
Primary practice location
200 Arthur Dr
Thomasville, NC 27360-6275
Mailing address
620 Apache Dr
Winston Salem, NC 27107-6164
Phone (336) 239-5327
Other practice location 1
210 School Rd
Trinity, NC 27370-9409
Phone (336) 861-2348
Other practice location 2
6329 Unity St Ste I
Thomasville, NC 27360-7186
Phone (336) 474-2348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012814 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomasville-Archdale Pediatrics, PLLC | Pediatrics | Current | Accepting new patients |
| Thomasville/Archdale Pediatrics PLLC | Past | Accepting new patients |
Locations
6329 Unity St
Ste I
Thomasville, NC 27360
Phone (336) 474-2348
6329 Unity St
Thomasville, NC 27360
Phone (336) 474-2348
200 Arthur Dr
Thomasville, NC 27360
Phone (336) 475-2348
210 School Rd
Trinity, NC 27370
Phone (336) 861-2348
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Thomasville, NC
- NPI 1427018894
Pediatrics
-
- Registered Dietitian
- Thomasville, NC
- NPI 1891094553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1831721158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 APACHE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271076164",
"telephone_number": "336-239-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ARTHUR DR",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273606275",
"telephone_number": "336-475-2348"
}
],
"practiceLocations": [
{
"address_1": "210 School Rd",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "NC",
"postal_code": "273709409",
"country_code": "US",
"telephone_number": "336-861-2348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6329 Unity St Ste I",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "NC",
"postal_code": "273607186",
"country_code": "US",
"telephone_number": "336-474-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUCCI",
"first_name": "KALEY",
"middle_name": "EVERHART",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "5012814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.