Organization
IMAGINE PEDIATRICS OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH TAYLOR BEERY (CHIEF ADMIN. OFFICER (CAO))
(504) 470-4140
Entity
Organization
Contact information
Practice address
506 RAMSEUR ST STE 1, DURHAM, NC 27701-4890
(833) 208-7770
Mailing address
750 OLD HICKORY BLVD STE 140, BRENTWOOD, TN 37027-4556
(833) 208-7770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
—
—
Other
Enumeration date
02/01/2024
Last updated
07/10/2026
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