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KIDZ PEDIATRICS, PA
NPI 1417112756
Pediatrics in Angier, NC

Active since July 25, 2008CLIA 34D1088464 · Waiver
285 W DORA ST, ANGIER, NC 27501(919) 639-9995 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kidz Pediatrics, Pa NPPES

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

KIDZ PEDIATRICS, PA (NPI 1417112756) is a healthcare organization registered as a pediatrics in Angier, North Carolina and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Lourdes Pereda, Board Director, as its authorized official.

NPPES Registry Identity

NPI1417112756
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDZ PEDIATRICS, PA
Location Address285 W DORA STAngier, NC 27501-9542
Mailing Address285 W Dora StAngier, NC 27501-9542 · (919) 639-9995
Phone(919) 639-9995
Organization SubpartNo
Authorized OfficialLourdes PeredaBoard Director · (910) 489-5456
Enumeration DateJuly 25, 2008
Last NPPES UpdateApril 23, 2015
✔ NPI 1417112756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2004 00397
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.
285 W DORA ST, Angier, NC 27501
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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 Blue Cross and Blue Shield of NC.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 34D1088464

Kidz Pediatrics PA · Angier, NC
Active · expires Aug 25, 2026
CLIA Number34D1088464
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorLourdes A. Pereda
Laboratory Phone(919) 639-9995
Laboratory LocationKidz Pediatrics PA285 W Dora Street, Angier, NC 27501
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.

MRS. AMANDA ANN LONG MSN, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
285 W DORA ST
ANGIER, NC 27501
Harnett County (919) 639-9995
DR. LOURDES AMPARO PEREDA MD
Pediatrics
285 W DORA ST
ANGIER, NC 27501
Harnett County (919) 639-9995

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 Kidz Pediatrics, PA's NPI number?

The NPI number for Kidz Pediatrics, PA is 1417112756. It was assigned to this organization in the NPPES registry on July 25, 2008.

Where is Kidz Pediatrics, PA located?

Kidz Pediatrics, PA is located at 285 W Dora St, Angier, NC 27501. The listed phone number is (919) 639-9995.

What is Kidz Pediatrics, PA's specialty?

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

Does Kidz Pediatrics, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1088464) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidz Pediatrics, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Kidz Pediatrics, PA 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 Kidz Pediatrics, PA was last updated on April 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.