MOCKSVILLE PEDIATRICS
NPI 1568455707
Pediatrics in Mocksville, NC

Q: What is Wake Forest University Baptist Medical Center Community Physicians's specialty?

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

Active since August 23, 2005CLIA 34D2038804 · Waiver

113 MARKETPLACE DRIVE, MOCKSVILLE, NC 27028(336) 753-8244(336) 753-8248 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mocksville Pediatrics NPPES

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

MOCKSVILLE PEDIATRICS (NPI 1568455707) is a healthcare organization registered as a pediatrics in Mocksville, North Carolina and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Lewis S Thorp, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1568455707

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS

Location Address113 MARKETPLACE DRIVEMocksville, NC 27028

Mailing Address113 Marketplace DriveMocksville, NC 27028 · (336) 753-8244 · Fax (336) 753-8248

Phone(336) 753-8244

Fax(336) 753-8248

Organization SubpartYes

Authorized OfficialLewis S ThorpPresident Ceo · (336) 721-3900

Enumeration DateAugust 23, 2005

Last NPPES UpdateApril 10, 2008

✔ NPI 1568455707 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.

113 MARKETPLACE DRIVE, Mocksville, NC 27028

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Other Names 1

Doing Business AsMocksville Pediatrics

Other Identifiers 2

Other2317728RNC · Medicare Group Number

Medicaid89015YHNC

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

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 34D2038804

Wake Forest University Baptist Medical Center · Mocksville, NC

Active · expires Mar 25, 2028

CLIA Number34D2038804

Laboratory TypeState Medical Assistance

Certificate Effective DateMarch 26, 2026

Certificate Expiration DateMarch 25, 2028

Laboratory DirectorChristine Hall

Laboratory Phone(336) 248-4000

Laboratory LocationWake Forest University Baptist Medical Center315 Bethel Church Road, Mocksville, NC 27028

CLIA data matches this NPI record on: Name

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 Wake Forest University Baptist Medical Center Community Physicians's NPI number?

The NPI number for Wake Forest University Baptist Medical Center Community Physicians is 1568455707. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Mocksville Pediatrics.

Where is Wake Forest University Baptist Medical Center Community Physicians located?

Wake Forest University Baptist Medical Center Community Physicians is located at 113 Marketplace Drive, Mocksville, NC 27028. The listed phone number is (336) 753-8244.

What is Wake Forest University Baptist Medical Center Community Physicians's specialty?

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

Does Wake Forest University Baptist Medical Center Community Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2038804) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wake Forest University Baptist Medical Center Community Physicians was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.