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Southfork Pediatrics, Pllc

Medical Specialty Clinic/Center in Lenoir, NC · enumerated 2005 · authorized official Debra Brown, Practice Manager.

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

National Provider Identifier

1992701445

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Registry record

Entity type Organization (Type 2)
Legal business name Southfork Pediatrics, Pllc
Practice address 1733 Connelly Springs Rd, Lenoir, NC, 28645
Fax (828) 726-8883
Enumeration date Jun 21, 2005
Last updated in NPPES Apr 20, 2008

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License 9701479 (NC) Primary

Authorized official

Name Debra Brown
Title Practice Manager

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

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 type of organization is Southfork Pediatrics, Pllc?
Southfork Pediatrics, Pllc is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).
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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.