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CAROLINA PEDIATRIC CENTER, PLLC
NPI 1538501903
Pediatrics in Gastonia, NC

Active since July 25, 2013CLIA 34D1003731 · Waiver
239 WILMOT DR STE A, GASTONIA, NC 28054(704) 864-0303(704) 864-6070 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Pediatric Center, Pllc NPPES

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

CAROLINA PEDIATRIC CENTER, PLLC (NPI 1538501903) is a healthcare organization registered as a pediatrics in Gastonia, North Carolina and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Olivia B Mijumbi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538501903
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCAROLINA PEDIATRIC CENTER, PLLC
Location Address239 WILMOT DR STE AGastonia, NC 28054-4048
Mailing AddressPo Box 550818Gastonia, NC 28055-0818 · (704) 864-0303
Phone(704) 864-0303
Fax(704) 864-6070
Organization SubpartNo
Authorized OfficialOlivia B MijumbiMedical Director · (704) 864-0303
Enumeration DateJuly 25, 2013
Last NPPES UpdateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1538501903 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.
239 WILMOT DR STE A, Gastonia, NC 28054
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Other Identifiers 7

Other2900124NC · Aetna
Other9554744001NC · Cigna
Other9259849MA · Phcs
Other12-01098NC · Unitedhealthcare
Other1322YNC · Bcbs
Medicaid891322YNC
OtherA8708NC · Medcost

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

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 34D1003731

Carolina Pediatric Center PLLC · Gastonia, NC
Active · expires Sep 9, 2026
CLIA Number34D1003731
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorOlivia B. Mijumbi
Laboratory Phone(704) 864-0303
Laboratory LocationCarolina Pediatric Center PLLC239 Wilmont Dr Ste A, Gastonia, NC 28054
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLIVIA BRIDGET MIJUMBI MD
Pediatrics
239 WILMOT DR STE A
GASTONIA, NC 28054
Gaston County (704) 864-0303

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 Carolina Pediatric Center, PLLC's NPI number?

The NPI number for Carolina Pediatric Center, PLLC is 1538501903. It was assigned to this organization in the NPPES registry on July 25, 2013.

Where is Carolina Pediatric Center, PLLC located?

Carolina Pediatric Center, PLLC is located at 239 Wilmot Dr Ste A, Gastonia, NC 28054. The listed phone number is (704) 864-0303.

What is Carolina Pediatric Center, PLLC's specialty?

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

Does Carolina Pediatric Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1003731) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Pediatric Center, PLLC was last updated on February 1, 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.