Southfork Pediatrics, Pllc
Southfork Pediatrics, Pllc is a healthcare organization registered as Medical Specialty Clinic/Center in Lenoir, NC, holding Type 2 (organization) NPI 1992701445 since 2005. The authorized official on file is Debra Brown, Practice Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1992701445 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southfork Pediatrics, Pllc |
| Practice address | 1733 CONNELLY SPRINGS RD, Lenoir, NC, 28645 |
| Phone | 8287268885 |
| Fax | 8287268883 |
| Enumeration date | 2005-06-21 |
| Last updated in NPPES | 2008-04-20 |
Authorized official
| Name | Debra Brown |
|---|---|
| Title | Practice Manager |
| Phone | 8287261379 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | 9701479 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891141R | Medicaid | NC | — |
| B0324 | Other | NC | MEDCOST |
| 1141R | Other | NC | BCBS OF NC |
| 2359139 | Other | NC | UNITED HEALTH CARE |
| 891141R | Other | NC | CAROLINA ACCESS |
| 1467112 | Other | NC | CIGNA |
Copy-ready billing details
Provider: Southfork Pediatrics, Pllc NPI: 1992701445 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 1733 CONNELLY SPRINGS RD, Lenoir, NC, 28645
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164696316 | Piedmont Vista Ear Nose Throat Allergy and Sleep Associates, Pllc | Organization | Specialist | Lenoir, NC |
Verify this record
Cross-check NPI 1992701445 against the authoritative CMS record: view Southfork Pediatrics, Pllc 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
What type of organization is Southfork Pediatrics, Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-04-20.