COLUMBUS PEDIATRICS & ADOLESCENT CARE PA NPI 1447210976

NPI Information

NPI: 1447210976
Provider Name: COLUMBUS PEDIATRICS & ADOLESCENT CARE PA
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 34D2307204
Address: 800 JEFFERSON ST
SUITE 116
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-2642

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NPI Details

COLUMBUS PEDIATRICS & ADOLESCENT CARE PA is a primary care clinic center in Whiteville, NC. COLUMBUS PEDIATRICS & ADOLESCENT CARE PA NPI is 1447210976. The provider is registered as an organization entity type.

The provider's business location address is:

800 JEFFERSON ST
SUITE 116
WHITEVILLE, NC
ZIP 28472-710
Phone: (910) 642-2642
Fax: (910) 642-3346

The provider's authorized official is Coy Randolph Matthews .
The authorized official title is President Of Corporation and has the following contact phone number (910) 642-2642.

The CLIA number assigned to this NPI record is 34D2307204 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 2/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	36388	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5902340	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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