NPIMap

Organization Active NPI

Cherokee Pediatrics

Doing business as Carolina Pediatric Associates

  • Preferred Provider Organization
  • Gaffney, SC
National Provider Identifier
1962809509
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
19092 Issued in SC
Legal business name
CHEROKEE PEDIATRICS
Doing business as
Carolina Pediatric Associates
Practice address
1419 N Limestone St
Gaffney, SC 29340-4748
Phone
(864) 839-4325
Fax
(803) 839-9901
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Daren Edward Carling, MDNPI 1164495594
Title
Owner/Physician
Phone
(864) 839-4325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 19092 SC Primary

Addresses

Primary practice location

1419 N Limestone St
Gaffney, SC 29340-4748

Mailing address

301 W Pine St
Blacksburg, SC 29702-1549
Phone (864) 839-4325

Other identifiers 1

IdentifierTypeStateIssuer
GP3830MedicaidSC

Other names 1

  • Carolina Pediatric Associates 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
42D2088491Carolina Pediatric Assoc1419 N Limestone St, Gaffney, SC 29340Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Carolina Pediatric Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1962809509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PINE ST",
            "city": "BLACKSBURG",
            "state": "SC",
            "postal_code": "297021549",
            "telephone_number": "864-839-4325",
            "fax_number": "864-839-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404748",
            "telephone_number": "864-839-4325",
            "fax_number": "803-839-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CARLING",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "864-839-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "19092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3830",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.