Organization Active NPI

Pediatric After Hours Care of Fayetteville

  • Urgent Care Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1861986267
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PEDIATRIC AFTER HOURS CARE OF FAYETTEVILLE
Practice address
556 Sandhurst Drive
Fayetteville, NC 28304
Phone
(910) 483-2646
Fax
(910) 483-9470
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Ana Ceide Hodges, MDNPI 1306809926
Title
President
Phone
(910) 483-2646

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

556 Sandhurst Drive
Fayetteville, NC 28304

Mailing address

556 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 483-2646

National Provider Directory

National Provider Directory

Locations

556 Sandhurst Dr
#2
Fayetteville, NC 28304

Practitioners & affiliated clinicians

Practitioners 2

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": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1861986267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-483-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 SANDHURST DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-483-2646",
            "fax_number": "910-483-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AFTER HOURS CARE OF FAYETTEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "CEIDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-483-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.