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SURF PEDIATRICS AND MEDICINE PC
NPI 1609058056
Pediatrics in Kitty Hawk, NC

Active since November 28, 2007CLIA Certified · 2 labs
5107 N CROATAN HWY STE 101, KITTY HAWK, NC 27949(252) 255-5321(252) 565-0534 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surf Pediatrics And Medicine Pc NPPES

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

SURF PEDIATRICS AND MEDICINE PC (NPI 1609058056) is a healthcare organization registered as a pediatrics in Kitty Hawk, North Carolina and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Christian Thor Lige, Pediatrician, as its authorized official.

NPPES Registry Identity

NPI1609058056
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSURF PEDIATRICS AND MEDICINE PC
Location Address5107 N CROATAN HWY STE 101Kitty Hawk, NC 27949-3989
Mailing Address5107 N Croatan HwyKitty Hawk, NC 27949-3989 · (252) 255-5321 · Fax (252) 565-0534
Phone(252) 255-5321
Fax(252) 565-0534
Organization SubpartNo
Authorized OfficialChristian Thor LigePediatrician · (252) 449-5200
Enumeration DateNovember 28, 2007
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1609058056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2002-00943
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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 200200943 (NC)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-01994 (NC)
5107 N CROATAN HWY STE 101, Kitty Hawk, NC 27949
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Secondary Practice Locations 2

Location 15107 N Croatan Hwy Ste 202Kitty Hawk, NC 27949-3989 · Phone (252) 255-5321 · Fax (252) 565-0534
Location 2400 S Croatan HwyKill Devil Hills, NC 27948-8895 · Phone (252) 449-5200 · Fax (252) 565-0534

Other Identifiers 1

Medicaid5916879NC

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 2

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 34D2055759

Surf Pediatrics And Medicine PC · Kitty Hawk, NC
Active · expires Mar 17, 2027
CLIA Number34D2055759
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorChristian T. Lige
Laboratory Phone(252) 449-5200
Laboratory LocationSurf Pediatrics And Medicine PC5107 N Croatan Hwy, Kitty Hawk, NC 27949
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2070977

Surf Pediatrics And Medicine PC · Kill Devil Hills, NC
Active · expires Oct 31, 2026
CLIA Number34D2070977
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorChristian L. Lige
Laboratory Phone(252) 441-7870
Laboratory LocationSurf Pediatrics And Medicine PC400 S Croatan Hwy, Kill Devil Hills, NC 27948
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TODD ALAN FELTZ PA-C
Physician Assistant
5107 N CROATAN HWY STE 101
KITTY HAWK, NC 27949
Dare County (252) 255-5321
MISS KELLIE ELIZABETH FLOCK PA-C
Physician Assistant (Medical)
5107 N CROATAN HWY STE 101
KITTY HAWK, NC 27949
Dare County (252) 255-5321

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 Surf Pediatrics And Medicine PC's NPI number?

The NPI number for Surf Pediatrics And Medicine PC is 1609058056. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Surf Pediatrics And Medicine PC located?

Surf Pediatrics And Medicine PC is located at 5107 N Croatan Hwy Ste 101, Kitty Hawk, NC 27949. The listed phone number is (252) 255-5321.

What is Surf Pediatrics And Medicine PC's specialty?

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

Does Surf Pediatrics And Medicine PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Surf Pediatrics And Medicine PC accept?

Health plans from Blue Cross and Blue Shield of NC list Surf Pediatrics And Medicine 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 Surf Pediatrics And Medicine PC was last updated on August 5, 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.