ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC
NPI 1104096015
Family Medicine in Fuquay Varina, NC
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, 2028 and lists Kingsley Chuks Ugochukwu, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angier Pediatrics And Adult Medical Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Angier Pediatrics And Adult Medical Center, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Fuquay-varina, NC 27526
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCFrequently 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.
Is Angier Pediatrics And Adult Medical Center, PLLC enrolled in Medicare?
Yes. Angier Pediatrics And Adult Medical Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Angier Pediatrics And Adult Medical Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Angier Pediatrics And Adult Medical Center, PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 Health, 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.
# Angier Pediatrics And Adult Medical Center, Pllc · NPI 1104096015
Family Medicine organization in Fuquay Varina, North Carolina. Organization record, active in the CMS NPPES registry since March 6, 2008.
## Identity
- **NPI:** 1104096015 (Entity type: Organization)
- **Enumerated:** March 6, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kingsley Ugochukwu, MEDICAL DIRECTOR
## Practice location
- **Address:** 441 LAKESTONE COMMONS AVE, Fuquay Varina, NC 27526-6972
- **Phone:** (919) 577-0481 · **Fax:** (919) 577-0512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2014
- **Other identifiers:** Medicaid 89136U6 (NC); Medicare UPIN I15587
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104096015) · Data from the CMS NPPES public registry.