Moonlight Pediatric Urgent Care PA
NPI 1558872804ActiveOrganization· Pediatrics· Wake Forest, NC
Pediatrics in Wake Forest, North Carolina, registered in NPPES in October 2017. The authorized official on file is Kimberly D. Fox, MD, Owner.
Overview
| NPI | 1558872804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2017 |
| Last updated in NPPES | Oct 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 200101445 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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