Frederick H Mabry III, MD
Frederick H Mabry III is a Pediatrics Physician provider (Pediatrics) practicing in Southern Pines, NC, registered in the NPPES registry with NPI 1629236021 since 2008. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629236021 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Frederick H Mabry III |
| Credential | MD |
| Sex | Male |
| Practice address | 195 W ILLINOIS AVE, Southern Pines, NC, 28387 |
| Phone | 9106922444 |
| Enumeration date | 2008-06-02 |
| Last updated in NPPES | 2020-09-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | 2011-00475 | NC |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114998150 | Medicaid | NC | — |
Copy-ready billing details
Provider: Frederick Mabry, MD NPI: 1629236021 Taxonomy: 208000000X (Pediatrics Physician) Address: 195 W ILLINOIS AVE, Southern Pines, NC, 28387
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902871452 | Christoph Diasio | Individual | Pediatrics Physician | Southern Pines, NC |
| 1598730046 | Brian Sherrington | Individual | Pediatrics Physician | Southern Pines, NC |
| 1306811856 | Joseph Boals IV | Individual | Pediatrics Physician | Southern Pines, NC |
| 1972578433 | Melissa Andrews | Individual | Pediatric Nurse Practitioner | Southern Pines, NC |
| 1942275110 | William Stewart | Individual | Pediatrics Physician | Southern Pines, NC |
| 1770558868 | Amy Ivey | Individual | Pediatric Nurse Practitioner | Southern Pines, NC |
| 1518933050 | Kathleen Clarke-Pearson | Individual | Pediatrics Physician | Southern Pines, NC |
| 1467428060 | Nora Mason | Individual | Pediatrics Physician | Southern Pines, NC |
Verify this record
Cross-check NPI 1629236021 against the authoritative CMS record: view Frederick H Mabry III on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-03.