LIVING WELL PEDIATRICS, PC
NPI 1669171369
Pediatrics in Pinehurst, NC

NPI Status: Active since March 01, 2023

Contact Information

289 OLMSTED BLVD
UNIT 3, STE 5
PINEHURST, NC
ZIP 28374
Phone: (910) 541-5880
Fax: (910) 240-9469

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 34D2282115
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-16-2027

About LIVING WELL PEDIATRICS, PC

This page provides the complete NPI Profile along with additional information for Living Well Pediatrics, Pc, a pediatrician established in Pinehurst, North Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1669171369 assigned on March 2023. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Warren Charles Johnson Iii Md (Ceo)

NPI
1669171369
Provider Name
LIVING WELL PEDIATRICS, PC
Entity Type
Organization
Location Address
289 OLMSTED BLVD UNIT 3, STE 5 PINEHURST, NC 28374
Location Phone
(910) 541-5880
Location Fax
(910) 240-9469
Mailing Address
370 OAKHURST VISTA WEST END, NC 27376
Mailing Phone
(816) 200-4491
Mailing Fax
(910) 240-9469
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2023
Last Update Date
03-01-2023
Code Navigator

A pediatrician like Living Well Pediatrics, Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WARREN CHARLES JOHNSON III MD

Authorized Official Title
CEO
Authorized Official Phone
(816) 200-4491

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2282115
Facility Type
Physician Office
Certificate Effective Date
May 17, 2025
Certificate Expiration Date
May 16, 2027
Laboratory Director
WARREN C. JOHNSON III
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Living Well Pediatrics, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669171369, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 2 + 7 + 2 + 3 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1669171369.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Psychiatry & Neurology (Psychiatry)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Social Worker (Clinical)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Psychologist (Clinical)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Dermatology (Clinical & Laboratory Dermatological Immunology)
289 OLMSTED BLVD, SUITE 5
PINEHURST, NC 28374
Counselor (Professional)
289 OLMSTED BLVD, SUIE 1
PINEHURST, NC 28374
Psychologist (Clinical)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Psychiatry & Neurology (Psychiatry)
289 OLMSTED BLVD, SUITE 1
PINEHURST, NC 28374
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Social Worker (Clinical)
289 OLMSTED BLVD
PINEHURST, NC 28374
Registered Nurse
289 OLMSTED BLVD
PINEHURST, NC 28374
Registered Nurse
289 OLMSTED BLVD
PINEHURST, NC 28374
Psychologist (Clinical)
289 OLMSTED BLVD
PINEHURST, NC 28374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669171369, enumerated as an "organization" on March 01, 2023.

The provider is located at 289 OLMSTED BLVD UNIT 3, STE 5 PINEHURST, NC 28374 and the phone number is (910) 541-5880.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.