NPIMap

Organization Active NPI

Chapel Hill Children & Adolescents' Clinic

Doing business as Chapel Hill Children's Clinic, PA

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1881792992
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200001335535 Issued in NC
Legal business name
CHAPEL HILL CHILDREN & ADOLESCENTS' CLINIC
Doing business as
Chapel Hill Children's Clinic, PA
Practice address
301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064
Phone
(919) 967-0771
Fax
(919) 967-9207
NPI assigned
Sep 20, 2006
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Michael Minozzi, M.D.NPI 1578543310
Title
President/Owner
Phone
(919) 967-0771

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 200001335535 NC Primary

Addresses

Primary practice location

301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064

Mailing address

301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064
Phone (919) 967-0771

Other identifiers 1

IdentifierTypeStateIssuer
89011M0MedicaidNC

Other names 1

  • Chapel Hill Children's Clinic, PA Doing business as

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
34D0239650Chapel Hill Children's Clinic301 Kildaire Road, Suite 200, Chapel Hill, NC 27516Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

301 Kildaire Rd
Ste 200
Chapel Hill, NC 27516
Phone (919) 360-0719

Interoperability endpoints

  • Direct secure messaging: amyfowler@chcac.allscriptsdirect.net
  • Direct secure messaging: carolynbrookhart@chcac.allscriptsdirect.net
  • Direct secure messaging: katharinedelgado@chcac.allscriptsdirect.net
  • Direct secure messaging: laurawindham@chcac.allscriptsdirect.net
  • Direct secure messaging: mariamatijasevic@chcac.allscriptsdirect.net
  • Direct secure messaging: michaelminozzi@chcac.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1881792992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-967-0771",
            "fax_number": "919-967-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-967-0771",
            "fax_number": "919-967-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPEL HILL CHILDREN & ADOLESCENTS' CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "MINOZZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-967-0771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200001335535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011M0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel Hill Children's Clinic, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.