LARRY C NICKENS MD
NPI 1619040532
Pediatrics in Goldsboro, NC

Q: What is Larry Nickens's NPI number?

The NPI number for Larry Nickens is 1619040532. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Larry Nickens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Larry Nickens was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 16, 2006

2706 MEDICAL OFFICE PLACE, GOLDSBORO, NC 27534(919) 734-4736(919) 580-1017 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Larry C Nickens Md NPPES

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

LARRY C NICKENS MD (NPI 1619040532) is an individual pediatrics provider in Goldsboro, North Carolina, licensed in North Carolina (27762) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619040532

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameLARRY C NICKENSCredential: MD

Location Address2706 MEDICAL OFFICE PLACEGoldsboro, NC 27534-9460

Mailing Address2706 Medical Office PlaceGoldsboro, NC 27534-9460 · (919) 734-4736 · Fax (919) 580-1017

Phone(919) 734-4736

Fax(919) 580-1017

Sole ProprietorNo

Enumeration DateNovember 16, 2006

Last NPPES UpdateJune 14, 2011

✔ NPI 1619040532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 27762

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.

2706 MEDICAL OFFICE PLACE, Goldsboro, NC 27534

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Other Identifiers 4

Other28723Medcost

Medicare ID-Type Unspecified204001A

Medicare UPINC82214

Other62640Bcbs

Other Providers at the Same Location NPPES 15

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

JENNIFER A PERKINS PA

Physician Assistant