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CONCORD CHILDREN'S CLINIC
NPI 1679589212
Pediatrics in Concord, NC

Active since August 01, 2006CLIA 34D0996592 · Waiver
1040 VINEHAVEN DR,, CONCORD, NC 28025(704) 784-1010(704) 784-1013 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Concord Children's Clinic NPPES

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

CONCORD CHILDREN'S CLINIC (NPI 1679589212) is a healthcare organization registered as a pediatrics in Concord, North Carolina and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Anju Sethi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679589212
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCONCORD CHILDREN'S CLINIC
Location Address1040 VINEHAVEN DR,Concord, NC 28025
Mailing Address1040 Vinehaven DriveConcord, NC 28025 · (704) 784-1010 · Fax (704) 784-1013
Phone(704) 784-1010
Fax(704) 784-1013
Organization SubpartNo
Authorized OfficialAnju SethiOffice Manager · (704) 784-1010
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679589212 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.
1040 VINEHAVEN DR,, Concord, NC 28025
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Other Identifiers 2

Medicaid89015H6NC
Other015H6NC · Bcbs Of Nc

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 34D0996592

Concord Children's Clinic · Concord, NC
Active · expires Feb 20, 2028
CLIA Number34D0996592
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorHemant Prakash
Laboratory Phone(704) 784-1010
Laboratory LocationConcord Children's Clinic1040 Vinehaven Drive, Concord, NC 28025
CLIA data matches this NPI record on: Address Name Phone
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 Concord Children's Clinic's NPI number?

The NPI number for Concord Children's Clinic is 1679589212. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Concord Children's Clinic located?

Concord Children's Clinic is located at 1040 Vinehaven Dr,, Concord, NC 28025. The listed phone number is (704) 784-1010.

What is Concord Children's Clinic's specialty?

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

Does Concord Children's Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0996592) is associated with this NPI, valid through February 20, 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 Concord Children's Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.