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BLOOM PEDIATRIC PARTNERS, PLLC
NPI 1922737923
Clinic/Center in Angier, NC

Active since June 07, 2022
612 NORTH BROAD STREET EAST, ANGIER, NC 27501(706) 340-3138(877) 485-3477 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bloom Pediatric Partners, Pllc NPPES

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

BLOOM PEDIATRIC PARTNERS, PLLC (NPI 1922737923) is a healthcare organization registered as a clinic/center in Angier, North Carolina and active in the NPI registry since June 2022. The organization lists Melinda Lee Beavers, Owner, as its authorized official.

NPPES Registry Identity

NPI1922737923
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLOOM PEDIATRIC PARTNERS, PLLC
Location Address612 NORTH BROAD STREET EASTAngier, NC 27501-8954
Mailing Address612 North Broad Street EastAngier, NC 27501-8954 · (706) 340-3138 · Fax (877) 485-3477
Phone(706) 340-3138
Fax(877) 485-3477
Organization SubpartNo
Authorized OfficialMelinda Lee BeaversOwner · (706) 340-3138
Enumeration DateJune 7, 2022
NPPES CertifiedMay 26, 2022
✔ NPI 1922737923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
612 NORTH BROAD STREET EAST, Angier, NC 27501
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Other Names 1

Doing Business AsBloom Pediatric Partners, Pllc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.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 34D2266680

Bloom Pediatric Partners PLLC · Angier, NC
Expired · Aug 14, 2026
CLIA Number34D2266680
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorMelinda L. Beavers
Laboratory Phone(984) 999-3957
Laboratory LocationBloom Pediatric Partners PLLC612 N Broad St E, Angier, NC 27501
CLIA data matches this NPI record on: Address Name
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 Bloom Pediatric Partners, PLLC's NPI number?

The NPI number for Bloom Pediatric Partners, PLLC is 1922737923. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Bloom Pediatric Partners, PLLC located?

Bloom Pediatric Partners, PLLC is located at 612 North Broad Street East, Angier, NC 27501. The listed phone number is (706) 340-3138.

What is Bloom Pediatric Partners, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Bloom Pediatric Partners, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Bloom Pediatric Partners, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bloom Pediatric Partners, PLLC was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.