PREMIER PEDIATRICS PA NPI 1720226236

NPI Information

NPI: 1720226236
Provider Name: PREMIER PEDIATRICS, PA
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
135 TURNER ST
SOUTHERN PINES, NC
ZIP 28387
Phone: (910) 246-2229
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PREMIER PEDIATRICS, PA is a pediatrics nurse practitioner in Southern Pines, NC. PREMIER PEDIATRICS, PA NPI is 1720226236. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 TURNER ST
SOUTHERN PINES, NC
ZIP 28387-054
Phone: (910) 246-2229
Fax: (910) 246-0237

The provider's authorized official is Petina Ann Sloan .
The authorized official title is Practice Administrator and has the following contact phone number (910) 246-2229.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 8/23/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	20070048	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	89013C9	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: 4/28/2024

NPI Synchronization or Removal

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