Organization Active NPI

Ahoskie Pediatrics, P.a.

  • Pediatrics Physician
  • Ahoskie, NC
National Provider Identifier
1851342075
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
AHOSKIE PEDIATRICS, P.A.
Practice address
700 Sunset Ave
Ahoskie, NC 27910-3547
Phone
(252) 332-3403
Fax
(252) 332-1655
NPI assigned
May 12, 2006
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
AHOSKIE PEDIATRICS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Beverly Edwards Edwards, M.D.NPI 1750330304
Title
Medical Doctor
Phone
(252) 332-3403

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

700 Sunset Ave
Ahoskie, NC 27910-3547

Mailing address

700 McGlohon St N
Ahoskie, NC 27910-2249
Phone (252) 332-8740

Other identifiers 1

IdentifierTypeStateIssuer
890160MMedicaidNC

National Provider Directory

National Provider Directory
Part of
Ahoskie Pediatrics PA

Locations

700 Sunset Ave E
Ahoskie, NC 27910
Phone (252) 332-3403

Practitioners & affiliated clinicians

Practitioners 2

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1851342075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MCGLOHON ST N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279102249",
            "telephone_number": "252-332-8740",
            "fax_number": "252-332-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET AVE",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103547",
            "telephone_number": "252-332-3403",
            "fax_number": "252-332-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHOSKIE PEDIATRICS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOSKIE PEDIATRICS, P.A.",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "252-332-3403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890160M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.