Park Place Pediatrics, LLC

Pediatrics in Greenville, NC. Organization (NPI-2).

NPI number1477570026

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1477570026
Entity type: Organization (NPI-2)
Legal business name: Park Place Pediatrics, LLC
Organization subpart: No
Enumeration date: Jul 17, 2006
Last updated: Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208000000X	Pediatrics	–	–	Yes

Practice location

2070 W Arlington Blvd Ste B
Greenville, NC 27834-3769

Phone 252-695-6195 · Fax 252-695-9098

Mailing address

2070 W Arlington Blvd Ste B
Greenville, NC 27834-3769

Phone 252-695-6195 · Fax 252-695-9098

Authorized official

Elizabeth Blair
President
2526956195

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in Greenville, NC

All 88 Pediatrics Physician providers in Greenville · All 7,137 providers in Greenville

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