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Moonlight Pediatric Urgent Care PA

Pediatrics Physician in Wake Forest, NC · enumerated 2017 · authorized official Kimberly Fox, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558872804

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Registry record

Entity type Organization (Type 2)
Legal business name Moonlight Pediatric Urgent Care PA
Practice address 3117 Rogers Rd Ste 120, Wake Forest, NC, 27587
Phone (919) 938-2144
Fax (919) 938-2144
Enumeration date Oct 13, 2017
Last updated in NPPES Oct 13, 2017

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 200101445 (NC) Primary

Authorized official

Name Kimberly Fox
Title Owner
Phone (919) 938-2144

Other identifiers

Identifier Type State Issuer
891313G Medicaid NC -

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.

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Frequently asked questions

What is the NPI number for Moonlight Pediatric Urgent Care PA?
The NPI for Moonlight Pediatric Urgent Care PA is 1558872804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Moonlight Pediatric Urgent Care PA?
NPPES lists Kimberly Fox (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-13.