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ENC PEDS PLLC
NPI 1518692797
Clinic/Center - Primary Care in Edenton, NC

Active since July 20, 2022CLIA 34D2295901 · Waiver
222B VIRGINIA RD, EDENTON, NC 27932(252) 484-9024(252) 404-8424 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 9, 2023, Jul 20, 2022 (2 updates tracked since 2022).

About Enc Peds Pllc NPPES

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

ENC PEDS PLLC (NPI 1518692797) is a healthcare organization registered as a primary care in Edenton, North Carolina and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Ian Luke Bryan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518692797
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameENC PEDS PLLC
Location Address222B VIRGINIA RDEdenton, NC 27932-9667
Mailing Address222b Virginia RdEdenton, NC 27932-9667
Phone(252) 484-9024
Fax(252) 404-8424
Organization SubpartNo
Authorized OfficialIan Luke BryanCeo · (252) 484-9024
Enumeration DateJuly 20, 2022
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1518692797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
222B VIRGINIA RD, Edenton, NC 27932
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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 34D2295901

Enc Peds PLLC · Edenton, NC
Active · expires Dec 18, 2027
CLIA Number34D2295901
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorBryan L. Ian
Laboratory Phone(252) 484-9024
Laboratory LocationEnc Peds PLLC222B Virginia Road, Edenton, NC 27932
CLIA data matches this NPI record on: Address 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 Enc Peds PLLC's NPI number?

The NPI number for Enc Peds PLLC is 1518692797. It was assigned to this organization in the NPPES registry on July 20, 2022.

Where is Enc Peds PLLC located?

Enc Peds PLLC is located at 222B Virginia Rd, Edenton, NC 27932. The listed phone number is (252) 484-9024.

What is Enc Peds PLLC's specialty?

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

Does Enc Peds PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2295901) is associated with this NPI, valid through December 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 Enc Peds PLLC was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.