GOLDSBORO PEDIATRICS PA NPI 1497523625

NPI Information

  • NPI: 1497523625
  • Provider Name: GOLDSBORO PEDIATRICS PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Other Name: LAGRANGE PEDIATRICS PA
  • Address: 114 E RAILROAD STREET
    LAGRANGE, NC
    ZIP 28551
  • Phone: (252) 566-5999

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NPI Details

GOLDSBORO PEDIATRICS PA is a pediatrics in Lagrange, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GOLDSBORO PEDIATRICS PA NPI is 1497523625. The provider is registered as an organization entity type.
The provider Other Name Is Lagrange Pediatrics Pa.

The provider's business location address is:

114 E RAILROAD STREET
LAGRANGE, NC
ZIP 28551
Phone: (252) 566-5999
Fax: (252) 566-4430

The provider's authorized official is Michael Allen Riddick .
The authorized official title is Practice Manager and has the following contact phone number (919) 734-4736.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/19/2023.

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
1261QR1300XClinic/CenterRural HealthNo
2208000000XPediatricsYes

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
18901644MEDICAIDNORTH 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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