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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES
NPI 1356845309
Family Medicine - Adolescent Medicine in Pembroke, NC

Active since March 22, 2018
113 HAWK DRIVE, PEMBROKE, NC 28372(910) 521-6219(910) 521-6549 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Mar 22, 2018 (2 updates tracked since 2018).

About University Of North Carolina At Pembroke Student Health Services NPPES

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

UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES (NPI 1356845309) is a healthcare organization registered as an adolescent medicine in Pembroke, North Carolina and active in the NPI registry since March 2018. The organization lists Jeffery L. Howard, Vice Chancellor For Student Affairs, as its authorized official.

NPPES Registry Identity

NPI1356845309
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameUNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES
Location Address113 HAWK DRIVEPembroke, NC 28372-1510
Mailing AddressPo Box 1510 Unc Pembroke Student Health ServicesPembroke, NC 28372-1510 · (910) 521-6219 · Fax (910) 521-6549
Phone(910) 521-6219
Fax(910) 521-6549
Organization SubpartNo
Authorized OfficialJeffery L. HowardVice Chancellor For Student Affairs · (910) 521-6175
Enumeration DateMarch 22, 2018
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1356845309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in NC · 183091
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 183091 (NC)
113 HAWK DRIVE, Pembroke, NC 28372
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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 MULTIPLE SINGLE SPECIALTY GROUP

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.

UNIVERSITY OF NORTH CAROLINA AT PEMBROKE STUDENT HEALTH SERVICES
Nurse Practitioner
113 HAWK DRIVE
PEMBROKE, NC 28372
Robeson County (910) 521-6219
DANIELLE NICOLE REAGAN
Counselor (Mental Health)
113 HAWK DRIVE
PEMBROKE, NC 28372
Robeson County (336) 473-8360

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 University Of North Carolina At Pembroke Student Health Services's NPI number?

The NPI number for University Of North Carolina At Pembroke Student Health Services is 1356845309. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is University Of North Carolina At Pembroke Student Health Services located?

University Of North Carolina At Pembroke Student Health Services is located at 113 Hawk Drive, Pembroke, NC 28372. The listed phone number is (910) 521-6219.

What is University Of North Carolina At Pembroke Student Health Services's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for University Of North Carolina At Pembroke Student Health Services was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.