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KIDZCARE PEDIATRICS, PC
NPI 1124627146
Pediatrics in Williamston, NC

Active since October 21, 2020CLIA 34D0242323 · Waiver
413 W MAIN ST, WILLIAMSTON, NC 27892(252) 792-4410 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2022, Oct 21, 2020 (2 updates tracked since 2020).

About Kidzcare Pediatrics, Pc NPPES

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

KIDZCARE PEDIATRICS, PC (NPI 1124627146) is a healthcare organization registered as a pediatrics in Williamston, North Carolina and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Shantae Renee Lockhart, Credentialing Admin, as its authorized official.

NPPES Registry Identity

NPI1124627146
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDZCARE PEDIATRICS, PC
Location Address413 W MAIN STWilliamston, NC 27892-2319
Mailing AddressPo Box 9219Fayetteville, NC 28311-9082 · (910) 483-7337 · Fax (910) 483-0648
Phone(252) 792-4410
Organization SubpartNo
Authorized OfficialShantae Renee LockhartCredentialing Admin · (910) 483-7337
Enumeration DateOctober 21, 2020
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1124627146 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.
413 W MAIN ST, Williamston, NC 27892
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Waiver 34D0242323

Kidzcare Pediatrics PC · Williamston, NC
Active · expires Nov 29, 2026
CLIA Number34D0242323
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorAshokkurmar C. Jain
Laboratory Phone(252) 792-4410
Laboratory LocationKidzcare Pediatrics PC413 W. Main Street, Williamston, NC 27892
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MATTHEW DAVID STURZENEGGER PNP-PC
Nurse Practitioner (Pediatrics)
413 W MAIN ST
WILLIAMSTON, NC 27892
Martin County (252) 792-8101

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 Kidzcare Pediatrics, PC's NPI number?

The NPI number for Kidzcare Pediatrics, PC is 1124627146. It was assigned to this organization in the NPPES registry on October 21, 2020.

Where is Kidzcare Pediatrics, PC located?

Kidzcare Pediatrics, PC is located at 413 W Main St, Williamston, NC 27892. The listed phone number is (252) 792-4410.

What is Kidzcare Pediatrics, PC's specialty?

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

Does Kidzcare Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0242323) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidzcare Pediatrics, PC accept?

Health plans from Blue Cross and Blue Shield of NC list Kidzcare Pediatrics, PC 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 Kidzcare Pediatrics, PC was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.