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

KIDZCARE PEDIATRICS, PC
NPI 1568082212
Pediatrics in Charlotte, NC

Active since April 23, 2020CLIA 34D1093271 · Waiver
416 MCCULLOUGH DR STE 140, CHARLOTTE, NC 28262(704) 717-3383(704) 717-3393 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidzcare Pediatrics, Pc NPPES

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

KIDZCARE PEDIATRICS, PC (NPI 1568082212) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Shantae Renee Lockhart, Credentialing Admin, as its authorized official.

NPPES Registry Identity

NPI1568082212
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDZCARE PEDIATRICS, PC
Location Address416 MCCULLOUGH DR STE 140Charlotte, NC 28262-4390
Mailing AddressPo Box 9219Fayetteville, NC 28311-9082 · (910) 483-7737 · Fax (910) 483-0648
Phone(704) 717-3383
Fax(704) 717-3393
Organization SubpartNo
Authorized OfficialShantae Renee LockhartCredentialing Admin · (910) 483-7337
Enumeration DateApril 23, 2020
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1568082212 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.
416 MCCULLOUGH DR STE 140, Charlotte, NC 28262
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 34D1093271

Kidzcare Pediatrics PC · Charlotte, NC
Active · expires Dec 14, 2026
CLIA Number34D1093271
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorDr. Ashokkumar C. Jain
Laboratory Phone(704) 717-3383
Laboratory LocationKidzcare Pediatrics PC416 Mccullough Drive Ste 140, Charlotte, NC 28262
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 3

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

DARIAN DANIELS
Clinic/Center (Primary Care)
416 MCCULLOUGH DR STE 140
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-3383
BRITTANY MANN
Physician Assistant
416 MCCULLOUGH DR STE 140
CHARLOTTE, NC 28262
Mecklenburg County (704) 536-0073
BRIAN E COYLE MD
Pediatrics
416 MCCULLOUGH DR STE 140
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-3383

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 Kidzcare Pediatrics, PC's NPI number?

The NPI number for Kidzcare Pediatrics, PC is 1568082212. It was assigned to this organization in the NPPES registry on April 23, 2020.

Where is Kidzcare Pediatrics, PC located?

Kidzcare Pediatrics, PC is located at 416 Mccullough Dr Ste 140, Charlotte, NC 28262. The listed phone number is (704) 717-3383.

What is Kidzcare Pediatrics, PC's specialty?

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

Does Kidzcare Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1093271) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kidzcare Pediatrics, PC accept?

Health plans from Blue Cross and Blue Shield of NC list Kidzcare Pediatrics, PC 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 Kidzcare Pediatrics, PC was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.