1. Home
  2. Directory
  3. North Carolina
  4. Huntersville
  5. Pediatrics
  6. NPI Profile

CALLISTO PEDIATRICS, PLLC
NPI 1447847975
Pediatrics in Huntersville, NC

Active since December 30, 2020CLIA 34D2217055 · Waiver
320 SEAGLE STREET SUITE#10, HUNTERSVILLE, NC 28078(704) 368-4351 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Callisto Pediatrics, Pllc NPPES

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

CALLISTO PEDIATRICS, PLLC (NPI 1447847975) is a healthcare organization registered as a pediatrics in Huntersville, North Carolina and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Tara Moon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447847975
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCALLISTO PEDIATRICS, PLLC
Location Address320 SEAGLE STREET SUITE#10Huntersville, NC 28078
Mailing Address145 Town Loop Apt B107Mooresville, NC 28117-0020 · (513) 225-8170
Phone(704) 368-4351
Organization SubpartNo
Authorized OfficialTara MoonCeo · (513) 225-8170
Enumeration DateDecember 30, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1447847975 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.

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 34D2217055

Callisto Pediatrics, PLLC · Huntersville, NC
Active · expires Mar 17, 2027
CLIA Number34D2217055
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorTara Moon
Laboratory Phone(704) 368-4351
Laboratory LocationCallisto Pediatrics, PLLC320 Seagle Street Suite # 10, Huntersville, NC 28078
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 Callisto Pediatrics, PLLC's NPI number?

The NPI number for Callisto Pediatrics, PLLC is 1447847975. It was assigned to this organization in the NPPES registry on December 30, 2020.

Where is Callisto Pediatrics, PLLC located?

Callisto Pediatrics, PLLC is located at 320 Seagle Street Suite#10, Huntersville, NC 28078. The listed phone number is (704) 368-4351.

What is Callisto Pediatrics, PLLC's specialty?

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

Does Callisto Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2217055) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Callisto Pediatrics, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Callisto Pediatrics, PLLC 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 Callisto Pediatrics, PLLC was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.