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Wilkes Pediatric Clinic, Pllc

Q: What type of organization is Wilkes Pediatric Clinic, Pllc?

Wilkes Pediatric Clinic, Pllc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

Pediatrics Physician in North Wilkesboro, NC · enumerated 2006 · authorized official Jackie Johnson, Practice Manager.

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

National Provider Identifier

1659487502

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Registry record

Entity type Organization (Type 2)

Legal business name Wilkes Pediatric Clinic, Pllc

Practice address 1925 W Park Dr, North Wilkesboro, NC, 28659

Phone (336) 903-0147

Fax (336) 903-1687

Enumeration date Aug 22, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jackie Johnson

Title Practice Manager

Phone (336) 903-0096

Other identifiers

Identifier	Type	State	Issuer
89013NN	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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Wilkes Pediatric Clinic, Pllc?

Wilkes Pediatric Clinic, Pllc is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.