OrganizationActive
Kidzcare Pediatrics, PC
NPI 1972015097 · Pediatrics Physician · Wallace, NC
Kidzcare Pediatrics, PC is a Pediatrics Physician organization in Wallace, NC (NPI 1972015097).
Provider details
- NPI number
- 1972015097
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shantae Lockhart, Credentialing Specialist(910) 483-7337
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
112 Medical Village Dr Ste D
Wallace, NC 28466-1665
Phone: (910) 665-1437
Fax: (910) 665-1315
Street-level locationGet directions
Mailing address
5617 Ramsey St
Fayetteville, NC 28311-1423
Registry dates
- Enumerated
- 2017-10-30
- Last updated
- 2017-10-30
Frequently asked questions
- What is Kidzcare Pediatrics, PC's NPI number?
- Kidzcare Pediatrics, PC's National Provider Identifier (NPI) is 1972015097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidzcare Pediatrics, PC?
- Kidzcare Pediatrics, PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kidzcare Pediatrics, PC located?
- Kidzcare Pediatrics, PC's practice location on file with NPPES is 112 Medical Village Dr Ste D, Wallace, NC 28466-1665.
- What is Kidzcare Pediatrics, PC's phone number?
- The practice phone number listed in the NPPES registry for Kidzcare Pediatrics, PC is (910) 665-1437.
- Who is the authorized official for Kidzcare Pediatrics, PC?
- The authorized official listed on Kidzcare Pediatrics, PC's NPPES record is Shantae Lockhart, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidzcare Pediatrics, PC's NPI active?
- Yes — Kidzcare Pediatrics, PC's NPI (1972015097) is active in the NPPES registry as of the last update on 2017-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.