FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC. – NPI #1023077211
Pediatrics

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.

FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC. is a provider located in RALEIGH, NC. NPPES has assigned the NPI number 1023077211 to FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC. on March 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

The NPI profile was previously updated about 5 years ago on Apr 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC. below.

NPI Profile for
FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC.

NPI Number
1023077211
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC.
Primary location
3350 SIX FORKS RD
RALEIGH, NC 27609-7233
Phone: (919) 881-9440 Fax: (919) 881-9465
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CONNELL COVINGTON
PHYSICIAN
Phone: (919) 881-9440
Updated
Certification Date
Apr 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDNC01770
MEDICAIDNC7901770
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.