EASTERN PEDIATRICS, P.A.
NPI 1811024979
Pediatrics in Greenville, NC

Active since February 27, 2007CLIA 34D1044743 · Waiver
1901 STONEHENGE DR, GREENVILLE, NC 27858(252) 561-7777(252) 561-7778 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eastern Pediatrics, P.a. NPPES

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

EASTERN PEDIATRICS, P.A. (NPI 1811024979) is a healthcare organization registered as a pediatrics in Greenville, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Yoicha G Ray, Administrative/financial Supervisor, as its authorized official.

NPPES Registry Identity

NPI1811024979
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEASTERN PEDIATRICS, P.A.
Location Address1901 STONEHENGE DRGreenville, NC 27858-5067
Mailing Address1901 Stonehenge DrGreenville, NC 27858-5067 · (252) 561-7777 · Fax (252) 561-7778
Fax(252) 561-7778
Organization SubpartNo
Authorized OfficialYoicha G RayAdministrative/financial Supervisor · (252) 561-7777
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 9, 2023
NPPES CertifiedSeptember 29, 2023
NPI 1811024979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NC · 970062
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.
1901 STONEHENGE DR, Greenville, NC 27858

Other Identifiers 2

Medicaid5950204NC
Other2348101NC · Medicare

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

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 34D1044743

Eastern Pediatrics, PA · Greenville, NC
Active · expires Dec 31, 2027
CLIA Number34D1044743
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorStephen L. Phillips Jr
Laboratory Phone(252) 561-7777
Laboratory LocationEastern Pediatrics, PA1901 Stonehenge Drive, Greenville, NC 27858
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 5

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

Pediatrics
1901 STONEHENGE DR
GREENVILLE, NC 27858
Pediatrics
1901 STONEHENGE DR
GREENVILLE, NC 27858
Nurse Practitioner (Family)
1901 STONEHENGE DR
GREENVILLE, NC 27858
Nurse Practitioner (Family)
1901 STONEHENGE DR
GREENVILLE, NC 27858
Pediatrics
1901 STONEHENGE DR
GREENVILLE, NC 27858

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

The NPI number for Eastern Pediatrics, P.A. is 1811024979. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Eastern Pediatrics, P.A. located?

Eastern Pediatrics, P.A. is located at 1901 Stonehenge Dr, Greenville, NC 27858. The listed phone number is (252) 561-7777.

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

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

Does Eastern Pediatrics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1044743) is associated with this NPI, valid through December 31, 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 Eastern Pediatrics, P.A. was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.