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ROCKINGHAM COUNTY HIGH SCHOOL STUDENT HEALTH CENTER
NPI 1801921390
Pediatrics - Adolescent Medicine in Reidsville, NC

Active since February 23, 2007CLIA 34D1009251 · Waiver
180 HIGH SCHOOL RD, REIDSVILLE, NC 27320(336) 634-3201(336) 634-3201 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Rockingham County High School Student Health Center NPPES

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

ROCKINGHAM COUNTY HIGH SCHOOL STUDENT HEALTH CENTER (NPI 1801921390) is a healthcare organization registered as an adolescent medicine in Reidsville, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Karen Ann Shadowens, Cfo, Vp, as its authorized official.

NPPES Registry Identity

NPI1801921390
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameUNC ROCKINGHAM HEALTH CARE, INC.
Location Address180 HIGH SCHOOL RDReidsville, NC 27320-8889
Mailing Address117 E Kings HwyEden, NC 27288-5201 · (336) 623-9711 · Fax (336) 623-2434
Phone(336) 634-3201
Fax(336) 634-3201
Organization SubpartNo
Authorized OfficialKaren Ann ShadowensCfo, Vp · (336) 627-8512
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1801921390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NC · 200400651
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedRegistered NurseTaxonomy 163W00000X · License 61720 (NC), 70791 (NC)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 00-35434 (NC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 200698 (NC)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 300219 (NC)
180 HIGH SCHOOL RD, Reidsville, NC 27320
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Other Names 1

Doing Business AsRockingham County High School Student Health Center

Other Identifiers 1

Medicaid7000803NC

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

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 34D1009251

Rockingham County Student Health Centers · Eden, NC
Active · expires Feb 10, 2027
CLIA Number34D1009251
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorTara Pruett
Laboratory Phone(336) 623-9711
Laboratory LocationRockingham County Student Health Centers117 E Kings Highway Attn Lisa Webster, PA, Eden, NC 27288
CLIA data matches this NPI record on: Address 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 Unc Rockingham Health Care, Inc.'s NPI number?

The NPI number for Unc Rockingham Health Care, Inc. is 1801921390. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Rockingham County High School Student Health Center.

Where is Unc Rockingham Health Care, Inc. located?

Unc Rockingham Health Care, Inc. is located at 180 High School Rd, Reidsville, NC 27320. The listed phone number is (336) 634-3201.

What is Unc Rockingham Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Unc Rockingham Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1009251) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Unc Rockingham Health Care, Inc. was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.