KNOX CLINIC PEDIATRICS
NPI 1063500908
Specialist in Wilmington, NC

Active since October 10, 2006CLIA 34D0670162 · Waiver
2304 DELANEY RD, WILMINGTON, NC 28403(910) 763-3349 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Knox Clinic Pediatrics NPPES

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

KNOX CLINIC PEDIATRICS (NPI 1063500908) is a healthcare organization registered as a specialist in Wilmington, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Anmona Thacker, Md, as its authorized official.

NPPES Registry Identity

NPI1063500908
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKNOX CLINIC PEDIATRICS
Location Address2304 DELANEY RDWilmington, NC 28403-6013
Mailing Address2304 Delaney RdWilmington, NC 28403-6013
Organization SubpartNo
Authorized OfficialAnmona ThackerMd · (910) 763-3349
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1063500908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2304 DELANEY RD, Wilmington, NC 28403

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

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 34D0670162

Knox Clinic Pediatrics, PLLC · Wilmington, NC
Active · expires Dec 8, 2027
CLIA Number34D0670162
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorLenard J. Edralin
Laboratory Phone(910) 763-3349
Laboratory LocationKnox Clinic Pediatrics, PLLC2304 Delaney Avenue, Wilmington, NC 28403
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 3

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

Legal Medicine
2304 DELANEY RD, KNOX CLINIC PEDIATRICS, PLLC
WILMINGTON, NC 28403
Legal Medicine
2304 DELANEY RD
WILMINGTON, NC 28403
Pediatrics
2304 DELANEY RD
WILMINGTON, NC 28403

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 Knox Clinic Pediatrics's NPI number?

The NPI number for Knox Clinic Pediatrics is 1063500908. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Knox Clinic Pediatrics located?

Knox Clinic Pediatrics is located at 2304 Delaney Rd, Wilmington, NC 28403. The listed phone number is (910) 763-3349.

What is Knox Clinic Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Knox Clinic Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0670162) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Knox Clinic Pediatrics accept?

Health plans from Blue Cross and Blue Shield of NC list Knox Clinic Pediatrics 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 Knox Clinic Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.