KIDZCARE PEDIATRICS, PC - NPI 1760865760 - Pediatrics in Wilmington, NC

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Kidzcare Pediatrics, Pc NPPES

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

KIDZCARE PEDIATRICS, PC (NPI 1760865760) is a healthcare organization registered as a pediatrics in Wilmington, North Carolina and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Shantae Renee Lockhart, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1760865760

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameKIDZCARE PEDIATRICS, PC

Location Address1606 WELLINGTON AVE STE FWilmington, NC 28401-7704

Mailing AddressPo Box 9219Fayetteville, NC 28311-9082 · (910) 483-7337 · Fax (910) 483-0648

Phone(910) 392-5634

Fax(910) 392-5654

Organization SubpartNo

Authorized OfficialShantae Renee LockhartCredentialing Coordinator · (910) 483-7337

Enumeration DateJuly 8, 2015

Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1760865760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 118386

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.

1606 WELLINGTON AVE STE F, Wilmington, NC 28401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 34D2098673

Kidzcare Pediatrics, PC · Wilmington, NC

Active · expires Jul 12, 2027

CLIA Number34D2098673

Laboratory TypePhysician Office

Certificate Effective DateJuly 13, 2025

Certificate Expiration DateJuly 12, 2027

Laboratory DirectorAshokkumar C. Jain

Laboratory Phone(910) 392-5634

Laboratory LocationKidzcare Pediatrics, PC1606 Wellington Drive, Suite F, Wilmington, NC 28401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MATTHEW MURPHY CO

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