OrganizationActive
Easter Seals Ucp North Carolina & Virginia
NPI 1275969230 · Pediatric Adolescent Medicine Physician · Spring Lake, NC
Provider details
- NPI number
- 1275969230
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Edwards, Vp(919) 783-8898
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
511 Wilson Ave
Spring Lake, NC 28390-3648
Phone: (919) 783-8898
Street-level locationGet directions
Mailing address
5171 Glenwood Ave
Raleigh, NC 27612-3266
Registry dates
- Enumerated
- 2013-09-23
- Last updated
- 2014-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.