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SOUTHPARK PEDIATRICS, P.A.
NPI 1710215256
Specialist in Charlotte, NC

Active since November 20, 2009
4601 PARK RD, SUITE 100, CHARLOTTE, NC 28209(704) 522-6656(704) 522-6665 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southpark Pediatrics, P.a. NPPES

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

SOUTHPARK PEDIATRICS, P.A. (NPI 1710215256) is a healthcare organization registered as a specialist in Charlotte, North Carolina and active in the NPI registry since November 2009. The organization lists Leslie C Brown, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1710215256
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHPARK PEDIATRICS, P.A.
Location Address4601 PARK RD, SUITE 100Charlotte, NC 28209-3239
Mailing Address4601 Park Rd, Suite 100Charlotte, NC 28209-3239 · (704) 522-6656 · Fax (704) 522-6665
Phone(704) 522-6656
Fax(704) 522-6665
Organization SubpartNo
Authorized OfficialLeslie C BrownPractice Administrator · (704) 896-9830
Enumeration DateNovember 20, 2009
✔ NPI 1710215256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 9501464
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4601 PARK RD, Charlotte, NC 28209
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Other Identifiers 1

Medicaid89013J5NC

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 ›

Other Providers at the Same Location NPPES 17

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

NOVANT MEDICAL GROUP, INC.
Pediatrics
4601 PARK RD, SUITE 100
CHARLOTTE, NC 28209
Mecklenburg County (704) 522-6656
FAMILY PRESERVATION SERVICES OF NORTH CAROLINA INC
Community/Behavioral Health
4601 PARK RD, SUITE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 344-0491
DR. STEFAN RENAUD D.O.
Orthopaedic Surgery
4601 PARK RD, STE 300
CHARLOTTE, NC 28209
Mecklenburg County (704) 323-2000
MR. JEFFREY DABKOWSKI PA-C
Physician Assistant
4601 PARK RD, SUITE 250
CHARLOTTE, NC 28209
Mecklenburg County (704) 323-2000
FAMILY PRESERVATION SERVICES OF NC, INC.
Community/Behavioral Health
4601 PARK RD, SUITE 400
CHARLOTTE, NC 28209
Mecklenburg County (828) 225-3100
SARAH CLAIRE MORRIS LMFT
Marriage & Family Therapist
4601 PARK RD, SUITE 400
CHARLOTTE, NC 28209
Mecklenburg County (704) 533-4320
MS. KATERINA CORINNE KARAGIANNAKIS M.A, NCC, LPC
Counselor (Professional)
4601 PARK RD
CHARLOTTE, NC 28209
Mecklenburg County (727) 512-3455
ORTHOCAROLINA, PA
Orthopaedic Surgery
4601 PARK RD, SUITE 250
CHARLOTTE, NC 28209
Mecklenburg County (704) 323-2000

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 Southpark Pediatrics, P.A.'s NPI number?

The NPI number for Southpark Pediatrics, P.A. is 1710215256. It was assigned to this organization in the NPPES registry on November 20, 2009.

Where is Southpark Pediatrics, P.A. located?

Southpark Pediatrics, P.A. is located at 4601 Park Rd Suite 100, Charlotte, NC 28209. The listed phone number is (704) 522-6656.

What is Southpark Pediatrics, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Southpark Pediatrics, P.A. accept?

Health plans from Blue Cross and Blue Shield of NC list Southpark Pediatrics, P.A. 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 Southpark Pediatrics, P.A. was last updated on November 20, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.