ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC
NPI 1104096015
Family Medicine in Fuquay Varina, NC

Q: What is Angier Pediatrics And Adult Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 06, 2008CLIA 34D1088776 · Waiver

441 LAKESTONE COMMONS AVE, FUQUAY VARINA, NC 27526(919) 577-0481(919) 577-0512 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angier Pediatrics And Adult Medical Center, Pllc NPPES

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

ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC (NPI 1104096015) is a healthcare organization registered as a family medicine in Fuquay Varina, North Carolina and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Kingsley Chuks Ugochukwu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104096015

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC

Location Address441 LAKESTONE COMMONS AVEFuquay Varina, NC 27526-6972

Mailing Address412 Howard Grove PkwyCary, NC 27519-0802

Phone(919) 577-0481

Fax(919) 577-0512

Organization SubpartNo

Authorized OfficialKingsley Chuks UgochukwuMedical Director · (919) 234-3517

Enumeration DateMarch 6, 2008

Last NPPES UpdateApril 3, 2014

✔ NPI 1104096015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

441 LAKESTONE COMMONS AVE, Fuquay Varina, NC 27526

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Other Identifiers 2

Medicaid89136U6NC

Medicare UPINI15587

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 34D1088776

Angier Pediatrics And Adult Medical Center, PLLC · Fuquay Varina, NC

Active · expires Sep 3, 2026

CLIA Number34D1088776

Laboratory TypePhysician Office

Certificate Effective DateSeptember 4, 2024

Certificate Expiration DateSeptember 3, 2026

Laboratory DirectorKingsley C. Ugochukwu

Laboratory Phone(919) 331-2460

Laboratory LocationAngier Pediatrics And Adult Medical Center, PLLC441 Lakestone Commons Avenue, Fuquay Varina, NC 27526

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

UCHENNA HARRISON ENYINNAYA NP

Nurse Practitioner (Family)

441 LAKESTONE COMMONS AVE
FUQUAY VARINA, NC 27526

Wake County (919) 577-0481

SHAKEILA BELL FNP

Nurse Practitioner

441 LAKESTONE COMMONS AVE
FUQUAY VARINA, NC 27526

Wake County (919) 577-0481

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 Angier Pediatrics And Adult Medical Center, PLLC's NPI number?

The NPI number for Angier Pediatrics And Adult Medical Center, PLLC is 1104096015. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Angier Pediatrics And Adult Medical Center, PLLC located?

Angier Pediatrics And Adult Medical Center, PLLC is located at 441 Lakestone Commons Ave, Fuquay Varina, NC 27526. The listed phone number is (919) 577-0481.

What is Angier Pediatrics And Adult Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Angier Pediatrics And Adult Medical Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1088776) is associated with this NPI, valid through September 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Angier Pediatrics And Adult Medical Center, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Angier Pediatrics And Adult Medical Center, PLLC 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 Angier Pediatrics And Adult Medical Center, PLLC was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.