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EASTERN CAROLINA PEDIATRICS PA
NPI 1073693347
Pediatrics in Wilson, NC

Active since October 17, 2006CLIA Certified · 2 labs
1702 MEDICAL PARK DR W, WILSON, NC 27893(252) 243-7944(252) 243-6097 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Carolina Pediatrics Pa NPPES

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

EASTERN CAROLINA PEDIATRICS PA (NPI 1073693347) is a healthcare organization registered as a pediatrics in Wilson, North Carolina and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Linda M Davis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073693347
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEASTERN CAROLINA PEDIATRICS PA
Location Address1702 MEDICAL PARK DR WWilson, NC 27893-2705
Mailing Address1702 Medical Park Dr WWilson, NC 27893-2705 · (252) 243-7944 · Fax (252) 243-6097
Phone(252) 243-7944
Fax(252) 243-6097
Organization SubpartNo
Authorized OfficialLinda M DavisOffice Manager · (252) 243-7944
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073693347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

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.

1702 MEDICAL PARK DR W, Wilson, NC 27893
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Other Names 1

Doing Business AsEastern Carolina Pediatrics Pa

Other Identifiers 1

Medicaid890120ENC

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

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2097015

Eastern Carolina Pediatrics, PA · Wilson, NC
Active · expires Jun 4, 2027
CLIA Number34D2097015
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorGuillermo Hidalgo
Laboratory Phone(252) 243-7944
Laboratory LocationEastern Carolina Pediatrics, PA1702 Medical Park Drive, Wilson, NC 27895
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 34D0242389

Eastern Carolina Pediatrics · Wilson, NC
Active · expires Nov 10, 2026
CLIA Number34D0242389
Laboratory TypePhysician Office
Certificate Effective DateNovember 11, 2024
Certificate Expiration DateNovember 10, 2026
Laboratory DirectorDr. Susan Andersen
Laboratory Phone(252) 243-7944
Laboratory LocationEastern Carolina Pediatrics1702 Medical Park Drive, Wilson, NC 27893
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 12

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

JAMES R BUSCH MD
Pediatrics
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
DR. JOHN H BUCK MD
Pediatrics
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
SUSAN H ANDERSEN MD
Pediatrics
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
CHRISTINA GURLEY POYTHRESS PA-C
Clinical Nurse Specialist (Pediatrics)
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
SHANNON DROHAN M.D.
Pediatrics
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
KIMBERLY BRIDGERS PITTMAN
Nurse Practitioner (Family)
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
DR. CLARISSA G LAWRENCE MD
Pediatrics
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944
DR. AMANDA BRAY BRINSON CPNP
Nurse Practitioner (Pediatrics)
1702 MEDICAL PARK DR W
WILSON, NC 27893
Wilson County (252) 243-7944

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 Eastern Carolina Pediatrics PA's NPI number?

The NPI number for Eastern Carolina Pediatrics PA is 1073693347. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Eastern Carolina Pediatrics PA located?

Eastern Carolina Pediatrics PA is located at 1702 Medical Park Dr W, Wilson, NC 27893. The listed phone number is (252) 243-7944.

What is Eastern Carolina Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Eastern Carolina Pediatrics PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Eastern Carolina Pediatrics PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.