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CAROLINA CHILD NEUROLOGY, PLLC
NPI 1780014761
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Fayetteville, NC

Active since November 12, 2013
1540 PURDUE DR STE 101, FAYETTEVILLE, NC 28303(910) 491-2437(910) 491-2439 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carolina Child Neurology, Pllc NPPES

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

CAROLINA CHILD NEUROLOGY, PLLC (NPI 1780014761) is a healthcare organization registered as a neurology with special qualifications in child neurology in Fayetteville, North Carolina and active in the NPI registry since November 2013. The organization maintains a secondary practice location in Fayetteville and lists Shalaka Indulkar, Member And Organizer, as its authorized official.

NPPES Registry Identity

NPI1780014761
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameCAROLINA CHILD NEUROLOGY, PLLC
Location Address1540 PURDUE DR STE 101Fayetteville, NC 28303-5510
Mailing Address1133 Offshore DrFayetteville, NC 28305-5250 · (910) 491-2437 · Fax (910) 491-2439
Phone(910) 491-2437
Fax(910) 491-2439
Organization SubpartNo
Authorized OfficialShalaka IndulkarMember And Organizer · (718) 288-2454
Enumeration DateNovember 12, 2013
Last NPPES UpdateFebruary 19, 2019
✔ NPI 1780014761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
1540 PURDUE DR STE 101, Fayetteville, NC 28303
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Secondary Practice Location 1

Location 11220 Walter Reed RdFayetteville, NC 28304-4430 · Phone (718) 288-2454 · Fax (910) 339-8905

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

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.

DR. SHALAKA D INDULKAR M.D
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1540 PURDUE DR STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-2437
KENNEDY PAIGE BROOKS
Physician Assistant
1540 PURDUE DR STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-2437
AUTUMN BIXLER PA-C
Physician Assistant
1540 PURDUE DR STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-7777
MAEGAN LAZO FNP
Nurse Practitioner (Family)
1540 PURDUE DR STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-2437
KATLIN LEE YOKELEY
Nurse Practitioner (Pediatrics)
1540 PURDUE DR STE 101
FAYETTEVILLE, NC 28303
Cumberland County (910) 491-2437

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 Carolina Child Neurology, PLLC's NPI number?

The NPI number for Carolina Child Neurology, PLLC is 1780014761. It was assigned to this organization in the NPPES registry on November 12, 2013.

Where is Carolina Child Neurology, PLLC located?

Carolina Child Neurology, PLLC is located at 1540 Purdue Dr Ste 101, Fayetteville, NC 28303. The listed phone number is (910) 491-2437.

What is Carolina Child Neurology, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Carolina Child Neurology, PLLC was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.