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SOUTHFORK PEDIATRICS, PLLC
NPI 1992701445
Clinic/Center - Medical Specialty in Lenoir, NC

Active since June 21, 2005
1733 CONNELLY SPRINGS RD, LENOIR, NC 28645(828) 726-8885(828) 726-8883 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southfork Pediatrics, Pllc NPPES

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

SOUTHFORK PEDIATRICS, PLLC (NPI 1992701445) is a healthcare organization registered as a medical specialty in Lenoir, North Carolina and active in the NPI registry since June 2005. The organization lists Debra K Brown, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1992701445
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSOUTHFORK PEDIATRICS, PLLC
Location Address1733 CONNELLY SPRINGS RDLenoir, NC 28645-7827
Mailing Address1733 Connelly Springs RdLenoir, NC 28645-7827 · (828) 726-8885 · Fax (828) 726-8883
Phone(828) 726-8885
Fax(828) 726-8883
Organization SubpartNo
Authorized OfficialDebra K BrownPractice Manager · (828) 726-1379
Enumeration DateJune 21, 2005
Last NPPES UpdateApril 20, 2008
✔ NPI 1992701445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NC · 9701479
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1733 CONNELLY SPRINGS RD, Lenoir, NC 28645
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Other Identifiers 7

Other2359139NC · United Health Care
Other891141RNC · Carolina Access
OtherB0324NC · Medcost
Medicare UPING59558NC
Other1467112NC · Cigna
Other1141RNC · Bcbs Of Nc
Medicaid891141RNC

Other Providers at the Same Location NPPES

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

PIEDMONT VISTA EAR NOSE THROAT ALLERGY AND SLEEP ASSOCIATES, PLLC
Specialist
1733 CONNELLY SPRINGS RD
LENOIR, NC 28645
Caldwell County (828) 728-2003

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 Southfork Pediatrics, PLLC's NPI number?

The NPI number for Southfork Pediatrics, PLLC is 1992701445. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Southfork Pediatrics, PLLC located?

Southfork Pediatrics, PLLC is located at 1733 Connelly Springs Rd, Lenoir, NC 28645. The listed phone number is (828) 726-8885.

What is Southfork Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Southfork Pediatrics, PLLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.