1. Home
  2. Directory
  3. North Carolina
  4. Greensboro
  5. Clinic Center
  6. NPI Profile

SHALOM PEDIATRIC CLINIC
NPI 1316227739
Clinic/Center - Primary Care in Greensboro, NC

Active since August 17, 2011CLIA 34D1067442 · Waiver
2806 RANDLEMAN RD, SUITE M, GREENSBORO, NC 27406(336) 574-8355(336) 273-9192 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shalom Pediatric Clinic NPPES

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

SHALOM PEDIATRIC CLINIC (NPI 1316227739) is a healthcare organization registered as a primary care in Greensboro, North Carolina and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Rita Obiageli Nnaemekaokoyeh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316227739
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHALOM PEDIATRIC CLINIC
Location Address2806 RANDLEMAN RD, SUITE MGreensboro, NC 27406-5265
Mailing Address2806 Randleman Rd, Suite MGreensboro, NC 27406-5265 · (336) 574-8355 · Fax (336) 273-9192
Phone(336) 574-8355
Fax(336) 273-9192
Organization SubpartNo
Authorized OfficialRita Obiageli NnaemekaokoyehMedical Director · (336) 574-8355
Enumeration DateAugust 17, 2011
✔ NPI 1316227739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NC · 2005-01548
2806 RANDLEMAN RD, Greensboro, NC 27406
Open in Google Maps ↗

Other Identifiers 1

Medicaid4188NC

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 34D1067442

Shalom Pediatric Clinic · Greensboro, NC
Active · expires Apr 18, 2027
CLIA Number34D1067442
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorRita O. Nnaemeka-Okoyeh
Laboratory Phone(336) 574-8355
Laboratory LocationShalom Pediatric Clinic2306 West Meadowview Road, Suite 125, Greensboro, NC 27407
CLIA data matches this NPI record on: 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 Shalom Pediatric Clinic's NPI number?

The NPI number for Shalom Pediatric Clinic is 1316227739. It was assigned to this organization in the NPPES registry on August 17, 2011.

Where is Shalom Pediatric Clinic located?

Shalom Pediatric Clinic is located at 2806 Randleman Rd Suite M, Greensboro, NC 27406. The listed phone number is (336) 574-8355.

What is Shalom Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Shalom Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1067442) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shalom Pediatric Clinic was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.