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PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
NPI 1003130493
Pediatrics - Pediatric Endocrinology in Hickory, NC

Active since March 15, 2010CLIA 34D2344024 · Waiver
1781 TATE BLVD SE, STE 203, HICKORY, NC 28602(704) 512-3636 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Jan 18, 2023 and 41 more (44 updates tracked since 2016).

About Pediatric Endocrinology & Diabetes Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS (NPI 1003130493) is a healthcare organization registered as a pediatric endocrinology in Hickory, North Carolina and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Scott Rissmiller, Enterprise Evp, as its authorized official.

NPPES Registry Identity

NPI1003130493
Entity TypeOrganization
Primary Taxonomy2080P0205X
Legal Business NamePEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS
Location Address1781 TATE BLVD SE, STE 203Hickory, NC 28602-4251
Mailing AddressPo Box 19305Charlotte, NC 28219-9305 · (704) 631-0002
Phone(704) 512-3636
Organization SubpartYes
Authorized OfficialScott RissmillerEnterprise Evp · (704) 355-8675
Enumeration DateMarch 15, 2010
Last NPPES UpdateMarch 9, 202344 updates tracked since enumeration
✔ NPI 1003130493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
1781 TATE BLVD SE, Hickory, NC 28602
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Other Names 1

Doing Business AsPediatric Endocrinology & Diabetes Specialists

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2344024

Pediatric Endocrinology & Diabetes Specialists - Gastonia · Gastonia, NC
Active · expires May 14, 2028
CLIA Number34D2344024
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorMark R. Vanderwel
Laboratory Phone(704) 512-3636
Laboratory LocationPediatric Endocrinology & Diabetes Specialists - Gastonia2550 Court Drive Suite 203, Gastonia, NC 28054
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINAS PHYSICIANS NETWORK INC
Pediatrics (Pediatric Cardiology)
1781 TATE BLVD SE, STE 203
HICKORY, NC 28602
Catawba County (704) 381-3970
S. ROSS PENLAND DMD PA
Dentist (Pediatric Dentistry)
1781 TATE BLVD SE
HICKORY, NC 28602
Catawba County (828) 855-3779
CMC-NORTHEAST, INC.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1781 TATE BLVD SE, CAROLINAS PEDIATRIC NEUROLOGY CARE - HICKORY
HICKORY, NC 28602
Catawba County (704) 446-1900
DR. FRANCISCO JAVIER OJEDA MD
Pediatrics (Neonatal-Perinatal Medicine)
1781 TATE BLVD SE
HICKORY, NC 28602
Catawba County (704) 381-8840
FRYECARE WOMEN'S SERVICES, LLC
Obstetrics & Gynecology
1781 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 328-2901
DLP FRYE MEDICAL GROUP LLC
Obstetrics & Gynecology
1781 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 328-2901
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Psychiatry & Neurology (Neurology)
1781 TATE BLVD SE
HICKORY, NC 28602
Catawba County (704) 446-1900
MR. THOMPSON W. TISDALE JR. PA-C
Physician Assistant
1781 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 322-3725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Endocrinology & Diabetes Specialists's NPI number?

The NPI number for Pediatric Endocrinology & Diabetes Specialists is 1003130493. It was assigned to this organization in the NPPES registry on March 15, 2010.

Where is Pediatric Endocrinology & Diabetes Specialists located?

Pediatric Endocrinology & Diabetes Specialists is located at 1781 Tate Blvd SE Ste 203, Hickory, NC 28602. The listed phone number is (704) 512-3636.

What is Pediatric Endocrinology & Diabetes Specialists's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Does Pediatric Endocrinology & Diabetes Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2344024) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Endocrinology & Diabetes Specialists accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Pediatric Endocrinology & Diabetes Specialists as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Endocrinology & Diabetes Specialists was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.