NPIMap

Organization Active NPI

Columbus Regional Health Network

Doing business as Advanced Pediatrics & Family Care

  • Pediatrics Physician
  • Whiteville, NC
National Provider Identifier
1851724645
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COLUMBUS REGIONAL HEALTH NETWORK
Doing business as
Advanced Pediatrics & Family Care
Southeast Pediatrics
Practice address
36 McNeill PLZ
Whiteville, NC 28472-8602
Phone
(910) 640-4064
NPI assigned
Aug 15, 2013
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS REGIONAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Marvin Armstrong
Title
Cfo
Phone
(704) 355-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

36 McNeill PLZ
Whiteville, NC 28472-8602

Mailing address

PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002

Other practice location 1

14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 640-4064

Other names 2

  • Advanced Pediatrics & Family Care Doing business as
  • Southeast Pediatrics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address crhs@crhn.cernerdirect.com Columbus Regional Healthcare System, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000511 NC Part B Supplier - Clinic/Group Practice 6608924931 Receives reassigned benefits from 248 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tabor City, NC; Wadesboro, NC; Whiteville, NC; Wilmington, NC; Monroe, NC; Shelby, NC; Albemarle, NC; Charlotte, NC…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2110582CRHS Dba Advanced Pediatrics and Family Care36 McNeill Plaza, Whiteville, NC 28472Certificate of waiverOct 2, 2026

National Provider Directory

National Provider Directory
Part of
Christy T Perdue MD PA

Locations

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1851724645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-640-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-640-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBUS REGIONAL HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS REGIONAL HEALTH NETWORK",
        "enumeration_date": "2013-08-15",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-355-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crhs@crhn.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "36 McNeill Plz",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284728602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Pediatrics & Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.