LEGACY PEDIATRICS
NPI 1699903542
Pediatrics in Fayetteville, NC
NPI Status: Active since June 30, 2009
Contact Information
556 SANDHURST DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-2646
Fax: (910) 483-9470
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 34D1101942
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-07-2025
About LEGACY PEDIATRICS
This page provides the complete NPI Profile along with additional information for Legacy Pediatrics, a pediatrician established in Fayetteville, North Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1699903542 assigned on June 2009. The practitioner's primary taxonomy code is 208000000X with license number 200000824 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ana Ceide Hodges M.d. (Owner/practitioner)
- NPI
- 1699903542
- Provider Name
- LEGACY PEDIATRICS
- Entity Type
- Organization
- Location Address
- 556 SANDHURST DR FAYETTEVILLE, NC 28304
- Location Phone
- (910) 483-2646
- Location Fax
- (910) 483-9470
- Mailing Address
- 556 SANDHURST DR FAYETTEVILLE, NC 28304
- Mailing Phone
- (910) 483-2646
- Mailing Fax
- (910) 483-9470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2009
- Last Update Date
- 07-12-2013
- Code Navigator
A pediatrician like Legacy Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 200000824
- License State
- NC
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D1101942
- Facility Type
- Physician Office
- Certificate Effective Date
- July 08, 2023
- Certificate Expiration Date
- July 07, 2025
- Laboratory Director
- ANA C. HODGES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Legacy Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LEGACY PEDIATRICS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 9 | 0 | 3 | 5 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 18 | 0 | 6 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 8 + 0 + 6 + 5 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1699903542 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598239436 | CHEYANNE TRINITY PARKER Individual | Pediatrics | 556 SANDHURST DR FAYETTEVILLE, NC 28304 (910) 483-2646 |
| 1023724317 | KELSEY HARMON PA Individual | Physician Assistant | 556 SANDHURST DR FAYETTEVILLE, NC 28304 (910) 483-2646 |
| 1689445520 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC Organization | Pediatrics | 556 SANDHURST DR FAYETTEVILLE, NC 28304 (910) 483-2646 |
| 1306809926 | DR. ANA CEIDE HODGES M.D. Individual | Pediatrics | 556 SANDHURST DR FAYETTEVILLE, NC 28304 (910) 483-2646 |
| 1881370807 | ALYSSA MARIE TARR Individual | Physician Assistant | 556 SANDHURST DR FAYETTEVILLE, NC 28304 (910) 483-2646 |
| 1679203277 | DANIYA CAMBREYON PATE Individual | Physician Assistant | 556 SANDHURST DR FAYETTEVILLE, NC 28304 (910) 483-2646 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699903542, enumerated in the NPI registry as an "organization" on June 30, 2009
The provider is located at 556 Sandhurst Dr Fayetteville, Nc 28304 and the phone number is (910) 483-2646
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health and Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D1101942 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.