Organization
Surf Pediatrics and Medicine PC
Provider's NPPES record last updated: August 5, 2020
Overview
- Entity Type
- Organization
- NPI
- 1609058056
- Primary Specialty
- Pediatrics
- Practice Location
- Kitty Hawk, North Carolina
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Allopathic & Osteopathic Physicians
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Taxonomy code 208000000X Clinic/Center
Primary Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QP2300XPhysician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Pediatrics (North Carolina)
- 2002-00943
- Clinic/Center (North Carolina)
- 200200943
- Physician Assistant (North Carolina)
- 0010-01994
Practice Locations
Practice Location
5107 N Croatan Hwy Ste 101
Kitty Hawk, North Carolina 27949-3989
Phone: (252) 255-5321
Additional Practice Location
5107 N Croatan Hwy Ste 202
Kitty Hawk, North Carolina 27949-3989
Phone: (252) 255-5321
Fax: (252) 565-0534
Additional Practice Location
400 S Croatan Hwy
Kill Devil Hills, North Carolina 27948-8895
Phone: (252) 449-5200
Fax: (252) 565-0534
Record Information
- Enumeration Date
- November 28, 2007
- Provider's NPPES Record Last Updated
- August 5, 2020
- Certification Date
- August 5, 2020
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue