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CALVARY PEDIATRICS
NPI 1285999458
Pediatrics in Fayetteville, NC

Active since July 12, 2012CLIA 34D0998587 · Waiver
509 SANDHURST DR, FAYETTEVILLE, NC 28304(910) 484-4233(910) 484-2990 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calvary Pediatrics NPPES

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

CALVARY PEDIATRICS (NPI 1285999458) is a healthcare organization registered as a pediatrics in Fayetteville, North Carolina and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Love Osaze Asemota, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1285999458
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCALVARY PEDIATRICS
Location Address509 SANDHURST DRFayetteville, NC 28304-4433
Mailing Address509 Sandhurst DrFayetteville, NC 28304-4433 · (910) 484-4233 · Fax (910) 484-2990
Phone(910) 484-4233
Fax(910) 484-2990
Organization SubpartNo
Authorized OfficialLove Osaze AsemotaOffice Manager · (910) 484-4233
Enumeration DateJuly 12, 2012
Last NPPES UpdateJune 25, 2020
NPPES CertifiedJune 25, 2020
✔ NPI 1285999458 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.
509 SANDHURST DR, Fayetteville, NC 28304
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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 and more.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 34D0998587

Calvary Pediatrics · Fayetteville, NC
Active · expires May 12, 2027
CLIA Number34D0998587
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorOgie Asemota
Laboratory Phone(910) 484-4233
Laboratory LocationCalvary Pediatrics509 Sandhurst Dr, Fayetteville, NC 28304
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 2

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

CASSIDY JADE FILIPIAK
Physician Assistant
509 SANDHURST DR
FAYETTEVILLE, NC 28304
Cumberland County (901) 484-4233
OGIEMWONYI ELEKHUOBA ASEMOTA M.D
Pediatrics
509 SANDHURST DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-4233

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 Calvary Pediatrics's NPI number?

The NPI number for Calvary Pediatrics is 1285999458. It was assigned to this organization in the NPPES registry on July 12, 2012.

Where is Calvary Pediatrics located?

Calvary Pediatrics is located at 509 Sandhurst Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-4233.

What is Calvary Pediatrics's specialty?

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

Does Calvary Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0998587) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Calvary Pediatrics accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Calvary 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 Calvary Pediatrics was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.