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SNEADS FERRY PEDIATRICS PC
NPI 1871855379
Nurse Practitioner - Pediatrics in Sneads Ferry, NC

Active since June 11, 2012CLIA 34D2046753 · Waiver
108 LAKESIDE DR, SNEADS FERRY, NC 28460(910) 327-5437(877) 505-8468 Get Directions Write a Review

NPPES record last updated: June 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sneads Ferry Pediatrics Pc NPPES

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

SNEADS FERRY PEDIATRICS PC (NPI 1871855379) is a healthcare organization registered as a pediatrics in Sneads Ferry, North Carolina and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Jack Wilcox, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871855379
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameSNEADS FERRY PEDIATRICS PC
Location Address108 LAKESIDE DRSneads Ferry, NC 28460-9415
Mailing Address108 Lakeside DrSneads Ferry, NC 28460-9415 · (910) 327-5437 · Fax (877) 505-8468
Phone(910) 327-5437
Fax(877) 505-8468
Organization SubpartNo
Authorized OfficialJack WilcoxCeo · (910) 327-5437
Enumeration DateJune 11, 2012
✔ NPI 1871855379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 20000007
108 LAKESIDE DR, Sneads Ferry, NC 28460
Open in Google Maps ↗

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 34D2046753

Sneads Ferry Pediatrics · Sneads Ferry, NC
Active · expires Sep 10, 2026
CLIA Number34D2046753
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorIshwar H. Gopichand
Laboratory Phone(910) 327-5437
Laboratory LocationSneads Ferry Pediatrics108 Lakeside Drive, Sneads Ferry, NC 28460
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 3

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

SAMANTHA RUTH FERGUSON MSN, CPNP
Nurse Practitioner (Pediatrics)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Onslow County (910) 327-5437
KATHERINE ANNE ALWES FNP
Nurse Practitioner (Family)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Onslow County (910) 327-5437
MRS. JESSICA DELIA CAMPAGNA LPC
Counselor (Mental Health)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Onslow County (858) 254-5870

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 Sneads Ferry Pediatrics PC's NPI number?

The NPI number for Sneads Ferry Pediatrics PC is 1871855379. It was assigned to this organization in the NPPES registry on June 11, 2012.

Where is Sneads Ferry Pediatrics PC located?

Sneads Ferry Pediatrics PC is located at 108 Lakeside Dr, Sneads Ferry, NC 28460. The listed phone number is (910) 327-5437.

What is Sneads Ferry Pediatrics PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Sneads Ferry Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2046753) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sneads Ferry Pediatrics PC was last updated on June 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.