KINGS MOUNTAIN PEDIATRIC CLINIC
NPI 1336127570
Pediatrics in Kings Mountain, NC

Q: What is Kings Mountain Pediatric Clinic's NPI number?

The NPI number for Kings Mountain Pediatric Clinic is 1336127570. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider was formerly known as Kings Mountain Pediatrics, PA.

Q: What is Kings Mountain Pediatric Clinic's specialty?

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

Active since January 06, 2006

108 EDGEMONT DR, KINGS MOUNTAIN, NC 28086(704) 739-2521(704) 739-4314 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kings Mountain Pediatric Clinic NPPES

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

KINGS MOUNTAIN PEDIATRIC CLINIC (NPI 1336127570), doing business as Kings Mountain Pediatrics, Pa, is a healthcare organization registered as a pediatrics in Kings Mountain, North Carolina and active in the NPI registry since January 2006. The organization lists Martin Wade Stallings, Doctor, as its authorized official.

NPPES Registry Identity

NPI1336127570

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameKINGS MOUNTAIN PEDIATRIC CLINIC

Location Address108 EDGEMONT DRKings Mountain, NC 28086-2702

Mailing Address108 Edgemont DrKings Mountain, NC 28086-2702 · (704) 739-2521 · Fax (704) 739-4314

Phone(704) 739-2521

Fax(704) 739-4314

Organization SubpartNo

Authorized OfficialMartin Wade StallingsDoctor · (704) 739-2521

Enumeration DateJanuary 6, 2006

Last NPPES UpdateApril 26, 2017

✔ NPI 1336127570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 19089

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.

108 EDGEMONT DR, Kings Mountain, NC 28086

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Other Names 1

Former Legal Business NameKings Mountain Pediatrics, Pa

Other Identifiers 2

Other79192NC · Blue Cross Blue Shield

Medicaid8979192NC

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

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 Kings Mountain Pediatric Clinic's NPI number?

The NPI number for Kings Mountain Pediatric Clinic is 1336127570. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider was formerly known as Kings Mountain Pediatrics, PA.

Where is Kings Mountain Pediatric Clinic located?

Kings Mountain Pediatric Clinic is located at 108 Edgemont Dr, Kings Mountain, NC 28086. The listed phone number is (704) 739-2521.

What is Kings Mountain Pediatric Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Kings Mountain Pediatric Clinic was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.