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

Active since March 01, 2023CLIA 34D2282115 · Waiver
289 OLMSTED BLVD, UNIT 3, STE 5, PINEHURST, NC 28374(910) 541-5880(910) 240-9469 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Living Well Pediatrics, Pc NPPES

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

LIVING WELL PEDIATRICS, PC (NPI 1669171369) is a healthcare organization registered as a pediatrics in Pinehurst, North Carolina and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Warren Charles Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669171369
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIVING WELL PEDIATRICS, PC
Location Address289 OLMSTED BLVD, UNIT 3, STE 5Pinehurst, NC 28374-8730
Mailing Address370 Oakhurst VistaWest End, NC 27376 · (816) 200-4491 · Fax (910) 240-9469
Phone(910) 541-5880
Fax(910) 240-9469
Organization SubpartNo
Authorized OfficialWarren Charles JohnsonCeo · (816) 200-4491
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1669171369 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.
289 OLMSTED BLVD, Pinehurst, NC 28374
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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

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 34D2282115

Living Well Pediatrics, PC · Pinehurst, NC
Active · expires May 16, 2027
CLIA Number34D2282115
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorWarren C. Johnson III
Laboratory Phone(910) 541-5881
Laboratory LocationLiving Well Pediatrics, PC289 Olmsted Blvd, Unit 3, Suite 5, Pinehurst, NC 28374
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 15

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

DIANE ROMAN BEAL
Registered Nurse
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (516) 526-1687
KHRYSTA FORREST
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 484-1711
DR. TANYA NICOLE GOODWIN PSYD
Psychologist (Clinical)
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 295-6007
TANYA THORNSBERRY
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 484-1711
PINEHURST SKIN SURGERY CENTER PLLC
Dermatology (Clinical & Laboratory Dermatological Immunology)
289 OLMSTED BLVD, SUITE 5
PINEHURST, NC 28374
Moore County (910) 295-2945
AMANDA COLEMAN
Behavior Technician
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 484-1711
PAMELA KATHERINE CASSELLIUS M.A., L.P.C.
Counselor (Professional)
289 OLMSTED BLVD, SUIE 1
PINEHURST, NC 28374
Moore County (910) 295-6007
CORNELIA WINTERS RN
Registered Nurse
289 OLMSTED BLVD
PINEHURST, NC 28374
Moore County (910) 295-6007

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 Living Well Pediatrics, PC's NPI number?

The NPI number for Living Well Pediatrics, PC is 1669171369. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Living Well Pediatrics, PC located?

Living Well Pediatrics, PC is located at 289 Olmsted Blvd Unit 3, Ste 5, Pinehurst, NC 28374. The listed phone number is (910) 541-5880.

What is Living Well Pediatrics, PC's specialty?

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

Does Living Well Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2282115) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Living Well Pediatrics, PC accept?

Health plans from Blue Cross and Blue Shield of NC list Living Well 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 Living Well Pediatrics, PC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.