NPIMap

Organization Active NPI

Peds Focus

  • Specialist
  • Rocky Mount, NC
National Provider Identifier
1952433914
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1935 Issued in NC
Legal business name
PEDS FOCUS
Practice address
2451 Hurt Dr
Rocky Mount, NC 27804-7976
Phone
(252) 266-4678
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Joan Werkau, PTA
Title
Office Manager
Phone
(252) 266-4678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1935 NC Primary

Addresses

Primary practice location

2451 Hurt Dr
Rocky Mount, NC 27804-7976

Mailing address

2451 Hurt Dr
Rocky Mount, NC 27804-7976
Phone (252) 266-4678

Other identifiers 2

IdentifierTypeStateIssuer
0777YOtherNCBCBS GROUP NUMBER
7211016MedicaidNC

National Provider Directory

National Provider Directory

Locations

2451 Hurt Dr
Rocky Mount, NC 27804
Phone (252) 266-4678

Practitioners & affiliated clinicians

Practitioners 1

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1952433914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 HURT DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047976",
            "telephone_number": "252-266-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 HURT DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278047976",
            "telephone_number": "252-266-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "WERKAU",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-266-4678",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0777Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211016",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.