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KIDS FIRST PEDIATRICS OF RALEIGH, PLLC
NPI 1700057486
Pediatrics in Raleigh, NC

Active since March 20, 2008CLIA Certified · 2 labs
4109 WAKE FOREST RD STE 300, RALEIGH, NC 27609(919) 250-3478(919) 250-6272 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Apr 12, 2024, Jun 9, 2023 (3 updates tracked since 2023).

About Kids First Pediatrics Of Raleigh, Pllc NPPES

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

KIDS FIRST PEDIATRICS OF RALEIGH, PLLC (NPI 1700057486), doing business as Kids First Pediatrics Of Clayton, is a healthcare organization registered as a pediatrics in Raleigh, North Carolina and active in the NPI registry since March 2008. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Clayton, and lists Selam Bullock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700057486
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameKIDS FIRST PEDIATRICS OF RALEIGH, PLLC
Location Address4109 WAKE FOREST RD STE 300Raleigh, NC 27609-2508
Mailing Address4109 Wake Forest Rd Ste 300Raleigh, NC 27609-2508 · (919) 250-3478 · Fax (919) 250-6272
Phone(919) 250-3478
Fax(919) 250-6272
Organization SubpartNo
Authorized OfficialSelam BullockCeo · (919) 250-3478
Enumeration DateMarch 20, 2008
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1700057486 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.
4109 WAKE FOREST RD STE 300, Raleigh, NC 27609
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Other Names 1

Doing Business AsKids First Pediatrics Of Clayton

Secondary Practice Location 1

Location 1400 Athletic Club Blvd Unit 101Clayton, NC 27527-6558 · Phone (919) 267-1499

Other Identifiers 1

Medicaid5913770NC

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 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 34D1102160

Kids First Pediatrics Of Raleigh, PLLC · Raleigh, NC
Active · expires Jul 13, 2027
CLIA Number34D1102160
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorSelam G. Bullock
Laboratory Phone(919) 250-3478
Laboratory LocationKids First Pediatrics Of Raleigh, PLLC4109 Wake Forest Rd, Ste 300, Raleigh, NC 27609
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 34D2215234

Kids First Pediatrics Of Clayton · Clayton, NC
Active · expires Mar 1, 2027
CLIA Number34D2215234
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorSelam Bullock
Laboratory Phone(919) 267-1499
Laboratory LocationKids First Pediatrics Of Clayton400 Athletic Club Blvd Unit 101, Clayton, NC 27527
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. ASIM HYDER ZEHRI MD
Pediatrics
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478
LAUREN MEADOWS HEILMAN CPNP-PC
Nurse Practitioner (Pediatrics)
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478
KELLY HANN SMITH CPNP
Nurse Practitioner (Pediatrics)
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478
DR. SHERYL L LEIDECKER M.D.
Pediatrics
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478
WHITNEY SMITH PA-C
Physician Assistant
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478
CORI LEWIS M.D.
Pediatrics
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478
EMILYN WHITE WAGNER DNP, FNP-C
Nurse Practitioner (Family)
4109 WAKE FOREST RD STE 300
RALEIGH, NC 27609
Wake County (919) 250-3478

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 Kids First Pediatrics Of Raleigh, PLLC's NPI number?

The NPI number for Kids First Pediatrics Of Raleigh, PLLC is 1700057486. It was assigned to this organization in the NPPES registry on March 20, 2008. The provider is doing business as Kids First Pediatrics of Clayton.

Where is Kids First Pediatrics Of Raleigh, PLLC located?

Kids First Pediatrics Of Raleigh, PLLC is located at 4109 Wake Forest Rd Ste 300, Raleigh, NC 27609. The listed phone number is (919) 250-3478.

What is Kids First Pediatrics Of Raleigh, PLLC's specialty?

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

Does Kids First Pediatrics Of Raleigh, PLLC 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 Kids First Pediatrics Of Raleigh, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Kids First Pediatrics Of Raleigh, PLLC 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 Kids First Pediatrics Of Raleigh, PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.