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

Elizabeth Ivey Blair, MDPHD

Individual provider Pediatrics Physician · NPI 1740207398

Elizabeth Ivey Blair, MDPHD is a Pediatric Medicine in Kenansville, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1988, 38 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
38
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2006

Practice location Address checks out

417 N Main St
Kenansville, NC 28349-8801
Phone: (910) 275-0060
Fax: (910) 275-0162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 39546 (NC)

Record details

NPI number1740207398
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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