Primary Care
The Division of Children's Primary Care is dedicated to providing comprehensive well-child and acute care for infants through age 21. We provide a wealth of services for our patients, including admitting privileges at Duke and Durham Regional Hospitals, adolescent specialty care, on-site mental health services, a nurse advice line, prenatal visits, lactation services, and sports medicine. Our wellness services include immunizations and routine physical examinations, including those required for school, competitive athletics, and camp.
We focus on the medical and developmental needs of our patient population and provide a wide range of wellness services and first-line diagnostic and treatment services. We offer comprehensive care for the entire range of childhood illnesses. All of our pediatricians are members of the faculty at the Duke University School of Medicine and are board-certified. The faculty and staff in the division of General Pediatrics constantly work to improve our health care knowledge in order to provide our patients with state-of-the-art care. Some physicians have interests and expertise in certain pediatric specialties, such as adolescent medicine, integrative medicine and sports medicine. Some of our physicians pursue purely clinical, educational and advocacy activities. Others are more heavily involved in primary care related research. Some are full-time, some are part-time. All provide excellent patient care.
Annually, we serve more than 19,000 patients during more than 50,000 visits. We see patients from birth up to age 21. As of 2005, our patient base is comprised of 50% female and 50% male patients. We have a diverse race and ethnic patient profile: 41% are Caucasian, 37% are African-American, 5% are Latino, 4% are Asian, and the remainder are either unspecified or other. Over half of our patients are 5 years old and under, 54.6%. The next largest age group, from 6-12 years, is 27.4% of our patients. Adolescents through age 18 comprise 16.6% by age, with only 1.4% between the ages of 19 and 21.
Treatments
Specific clinical services provided include:
- Adolescent services
- Ear, nose and throat (ENT) referrals
- Immunizations
- Lactation services
- Mental health services
- Nurse advice line
- Ophthalmology referrals
- Parent education classes
- Sports medicine
More about our Clinical Services
Read details about the clinical services in the Division of Primary Care, where they are offered and how to get more information about them. More>>
Physicians and Staff
Physicians
| Name | Areas of Special Interest |
|---|---|
| Sarah C. Armstrong, MD | Specialize in causes, complications, and treatment of pediatric obesity working alongside local, state, and national leaders addressing the obesity epidemic |
| Michelle L. Bailey, MD | Special interests include community education regarding health care and relevant social issues including teen pregnancy, substance abuse and mentoring |
| Jeffrey P. Baker, MD, PhD | General pediatrics |
| Joanne F. Band, MD | Pediatric primary care |
| Debra L. Best, MD | General pediatrics |
| Dennis A. Clements, MD, PhD, MPH | General pediatrics, infectious diseases, epidemiology, vaccine research, managed care health issues, global health |
| Joseph A. Jackson, MD | Primary care pediatrics |
| Elizabeth Landolfo, MD | General pediatrics |
| Jennifer M. Lawson, MD | General pediatrics |
| Caren Mangarelli, MD | General pediatrics and adolescent medicine, childhood obesity |
| Dean S. Miner, MD | On-going interest in palliative care medicine, as well as in clinical genetics, and house-staff education |
| Beatriz B. Morris, MD | General pediatrics, fluent in Spanish |
| Deborah L. Squire, MD | Primary care, sports medicine, general pediatrics, adolescent medicine |
| Betty B. Staples, MD | General pediatrics, eating disorders |
| Emmanuel B. Walter, MD, MPH | General pediatrics, infectious diseases in children, vaccine research |
Faculty and Staff: Pediatrics Primary Care Mental Health Team
| Name | Role |
|---|---|
| Barbara Donadio, BS, RN | Nurse clinician, liasion to physicians for patients with chronic and complex health and social issues |
| Nancy Murray, BSN, RN, IBCLC | Nurse clinician, lactation consultant, chronic and complex patients |
| Nancy Piatt, RN | Nurse clinician, respiratory syncytial virus (RSV) preventive medication program for high risk infants, chronic and complex patients |
Staff
| Name | Areas of Special Interest |
|---|---|
| Barbara Keith Walter, PhD, MPH | Clinical child and pediatric psychology; assessment and treatment of developmental, behavioral, attention, learning, and school performance concerns in children and adolescents; individual and family therapy with children and adolescents; parent education, training, and support; cognitive-behavioral therapy for children and adolescents with anxiety and mood disorders; coping with chronic illness and disabilities |
| Patricia S. Cheng, PhD | Psychological assessment, testing, and treatment with children, adolescents, and families; pediatric psychology; and cognitive-behavioral therapy |
| M. Jane Howard, MSSW, LCSW | Child, adolescent and family therapy in the primary care setting, with a specific interest in grief work. |
Division Leadership
Dennis A. Clements, III, MD, PhD, MPH, is our Division Chief and Executive Vice-Chair for Clinical Services, Department of Pediatrics. He is Director of Medical Spanish for Duke Medical Students and the Course Director for Exploring Medicine in Other Cultures.
Contact: 919-681-2286 or cleme002@mc.duke.edu
Elizabeth (Liz) Landolfo, M.D., is our Practice Chief and the Medical Director of the Duke Health Center at Roxboro Street.
Contact: 919-620-5374 or lando002@mc.duke.edu
Sarah Armstrong, MD, is the Medical Director of the Center for Exercise, Nutritional Disorders, and Obesity (CENDO) at Roxboro Street.
Contact: 919-620-5315 or sarah.c.armstrong@duke.edu
Terrill (Terry) Bravender, MD, MPH, is Medical Director of the Adolescent Medicine Program and Medical Director of the Duke Eating Disorders Clinic.
Contact: 919-620-5374 or brave001@mc.duke.edu
Betty Staples, MD, is Program Director of the Pediatrics House Officer Continuity Clinic and Associate Program Director of the Pediatrics Residency Program.
Contact: 919-620-5374 or betty.staples@duke.edu
Emmanuel (Chip) Walter, MD, MPH, is Director of the Duke Vaccine and Infectious Diseases Epidemiology Unit and he is also Associate Director of the Primary Care Research Consortium at the Duke Clinical Research Institute.
Contact: 919-620-5374 or walte002@mc.duke.edu
Suzanne (Sue) Woods, MD, is Program Director of the combined Internal Medicine and Pediatrics Residency Program and Associate Program Director of the Pediatrics Residency Program.
Contact: 919-620-5374 or woods038@mc.duke.edu
Clinic Hours and Location
Duke Health Center at Roxboro Street
4020 North Roxboro Street
Durham, NC 27704
Tel: 919-620-5333
Hours: Monday, Wednesday, and Thursday, 8:00 am to 5:00 pm
Tuesday and Friday, 9:00 am to 5:00 pm
Saturday, 9:00 am to 12:00 noon (acute care only)
Duke Health Center at Pickett Road
3024 Pickett Road
Durham, NC 27705
Tel: 919-620-5333
Hours: Monday, Wednesday, and Thursday, 8:00 am to 5:00 pm.
Tuesday and Friday, 9:00 am to 5:00 pm
Duke Health Center at Southpoint
6301 Herndon Road
Durham, NC 27713
Tel: 919-620-5333
Hours:
Monday, Wednesday, and Thursday, 8:00 am to 5:00 pm
Tuesday and Friday, 9:00 am to 5:00 pm
Appointments and Contact Information
To serve our patients and referring physicians, faculty physicians covering pediatric primary care are always on call to answer questions and provide consultation.
- For a new and return appointments at any Duke Children's Primary Care clinic location, please call 919-620-5333.
- For the nurse advice line, or prescription refills, please call 919-620-5333. These services are available Mondays through Fridays from 7:30 am to 5 pm.
- For the after hours triage nurse, please call 1-888-267-3674 or 919-966-3820. The triage nurse is available Monday through Friday nights from 5 pm to 8 am the following day. On Saturdays, the triage nurse is available from 12 noon to 12 midnight. On Sundays and holidays, the triage nurse is available from 12:01 am to 12 midnight. During business hours, call the nurse advice line.
- For urgent calls during business hours, call the divisional office at 919-620-5374.
- For urgent calls after business hours, on weekends, or on holidays, please call 919-684-8111 and ask the operator to page the primary care pediatrician on call.
- For physicians requesting consultations or making referrals, please call the divisional office at 919-620-5333 or the Duke Consultation and Referral Center at 800-MED-DUKE (800-633-3853).
