Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moonlight Pediatric Urgent Care PA

Organization Pediatrics Physician · NPI 1558872804

Moonlight Pediatric Urgent Care PA is a Pediatrics Physician in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3117 Rogers Rd Ste 120
Wake Forest, NC 27587-3803
Phone: (919) 938-2144
Fax: (919) 938-2144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 200101445 (NC)

Record details

NPI number1558872804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Fox — Owner · (919) 938-2144
NPI enumeratedOctober 13, 2017
Last updated in NPPESOctober 13, 2017
Mailing address1519 E Booker Dairy Rd Ste A, Smithfield, NC 27577-9472

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