Caldwell Memorial Hospital, Inc
Organization Active NPI Pediatrics Physician · Lenoir, NC
NPI 1922013457 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1922013457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- CALDWELL MEMORIAL HOSPITAL, INC
- Practice address
- 906 College Ave SW
Suite C
Lenoir, NC 28645-5428 - Phone
- (828) 757-5509
- Fax
- (828) 757-5538
- NPI assigned
- Jul 31, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CALDWELL MEMORIAL HOSPITAL, INC.
Authorized official
- Name
- Karen Shadowens
- Title
- Cfo
- Phone
- (336) 627-8512
Corporate family (same tax ID) 25
Practitioners 130
-
Amy Abouzied, MD
-
Raye Lynn Absher, FNP-C
-
Tracy Denise Andrews, DNP, ACNP
-
Sally Mae Baird, NP-C
-
Randal Paul Bast, MD
-
Kimberly A. Baumann, PNP
-
Katrina Brookshire Bell, FNP-C
-
Jamie Millicent Boone, FNP-C
-
Brooke Anderson Bost, PA-C
-
Derek Edward Bost, PA-C
-
Melissa A Carlton, FNP-C
-
Raegan McNeil Church, FNP-C
-
Karen Clarke, NP
-
Kara Hawk Clemmer, FNP
-
Timothy Lee Clenney, M.D.
-
Emily Combs, FNP-BC
-
David O Cook, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0675576 | Mulberry Pediatrics Laboratory | Certificate of waiver | May 16, 2027 |
National Provider Directory
- Tax ID family
- Caldwell Mem Hosp
- Part of
- Caldwell Mem Hosp
Locations
4355 Hickory Blvd
Ste 2
Granite Falls, NC 28630
Phone (828) 757-5050
36 14th Ave NE
Ste 2B
Hickory, NC 28601
Phone (828) 757-5074
270 Pine Mountain Rd
Ste 5
Hudson, NC 28638
Phone (828) 757-8206
589 Main St
Hudson, NC 28638
Phone (828) 757-3301
516 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-9733
907 College Ave SW Ste C
Lenoir, NC 28645
401 Mulberry St SW
Ste 202
Lenoir, NC 28645
Phone (828) 757-6146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
906 College Ave SW
Suite C
Lenoir, NC 28645-5428
Mailing address
321 Mulberry St SW
Medical Staff Services
Lenoir, NC 28645-5720
Phone (828) 757-5965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890225K | Medicaid | NC |
Other names
- Mulberry Pediatrics
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Lenoir, NC
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
All providers in Lenoir, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.