KIDZCARE PEDIATRICS
NPI 1154179638
Pediatrics in Wadesboro, NC

Active since May 09, 2024CLIA 34D1002468 · Waiver
904 MORVEN RD STE 100, WADESBORO, NC 28170(704) 994-2300(704) 994-2353 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kidzcare Pediatrics NPPES

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

KIDZCARE PEDIATRICS (NPI 1154179638) is a healthcare organization registered as a pediatrics in Wadesboro, North Carolina and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Shantae Renee Lockhart, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1154179638
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDZCARE PEDIATRICS
Location Address904 MORVEN RD STE 100Wadesboro, NC 28170-2834
Mailing Address5617 Ramsey StFayetteville, NC 28311-1423
Fax(704) 994-2353
Organization SubpartNo
Authorized OfficialShantae Renee LockhartCredentialing Coordinator · (910) 483-7337
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
NPI 1154179638 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.
904 MORVEN RD STE 100, Wadesboro, NC 28170

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

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 34D1002468

Kidzcare Pediatrics, PC · Wadesboro, NC
Active · expires Aug 24, 2027
CLIA Number34D1002468
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorMs. Colleen Boylston
Laboratory Phone(704) 994-2300
Laboratory LocationKidzcare Pediatrics, PC904 Morven Road, Suite 100, Wadesboro, NC 28170
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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's NPI number?

The NPI number for Kidzcare Pediatrics is 1154179638. It was assigned to this organization in the NPPES registry on May 9, 2024.

Where is Kidzcare Pediatrics located?

Kidzcare Pediatrics is located at 904 Morven Rd Ste 100, Wadesboro, NC 28170. The listed phone number is (704) 994-2300.

What is Kidzcare Pediatrics's specialty?

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

Does Kidzcare Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1002468) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidzcare Pediatrics accept?

Health plans from Blue Cross and Blue Shield of NC list Kidzcare Pediatrics 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 was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.