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OUR CHILDREN'S CLINIC, PA
NPI 1124135603
Pediatrics in Winterville, NC

Active since August 23, 2006CLIA 34D0708685 · Certificate of Compliance
4024A OLD TAR RD, WINTERVILLE, NC 28590(252) 355-3773(252) 355-1958 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Our Children's Clinic, Pa NPPES

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

OUR CHILDREN'S CLINIC, PA (NPI 1124135603) is a healthcare organization registered as a pediatrics in Winterville, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 23, 2028 and lists Angela G. Stewart, President, as its authorized official.

NPPES Registry Identity

NPI1124135603
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOUR CHILDREN'S CLINIC, PA
Location Address4024A OLD TAR RDWinterville, NC 28590-8430
Mailing Address4024a Old Tar RdWinterville, NC 28590-8430 · (252) 355-3773 · Fax (252) 355-1958
Phone(252) 355-3773
Fax(252) 355-1958
Organization SubpartNo
Authorized OfficialAngela G. StewartPresident · (252) 355-3773
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124135603 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.
4024A OLD TAR RD, Winterville, NC 28590
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Other Identifiers 2

Medicaid890264ENC
Other0264ENC · Bcbs Of Nc

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 Blue Cross and Blue Shield of NC.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 Compliance 34D0708685

Our Children's Clinic, PA · Winterville, NC
Active · expires May 23, 2028
CLIA Number34D0708685
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorAngela G. Stewart
Laboratory Phone(252) 355-3773
Laboratory LocationOur Children's Clinic, PA4024 A Old Tar Road, Winterville, NC 28590
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

JOSEPH P BYRNE PAC
Physician Assistant (Medical)
4024A OLD TAR RD
WINTERVILLE, NC 28590
Pitt County (252) 355-3773
DR. ANGELA STEWART MD
Pediatrics
4024A OLD TAR RD
WINTERVILLE, NC 28590
Pitt County (252) 355-3773
DR. LOUISE BRADSHAW MD
Pediatrics
4024A OLD TAR RD
WINTERVILLE, NC 28590
Pitt County (252) 355-3773

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 Our Children's Clinic, PA's NPI number?

The NPI number for Our Children's Clinic, PA is 1124135603. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Our Children's Clinic, PA located?

Our Children's Clinic, PA is located at 4024A Old Tar Rd, Winterville, NC 28590. The listed phone number is (252) 355-3773.

What is Our Children's Clinic, PA's specialty?

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

Does Our Children's Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0708685) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Our Children's Clinic, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Our Children's Clinic, PA 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 Our Children's Clinic, PA 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.