CAROLINA MEDICORP ENTERPRISES INC (NPI# 1003207960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003207960 |
Entity Type | Organization |
Organization Name | CAROLINA MEDICORP ENTERPRISES INC |
Other Organization Name | NOVANT HEALTH URGENT CARE AND OCCUPATIONAL MEDICINE |
Practice Address |
445 South Kings Drive Charlotte NC 28204-3041 |
Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
Practice Telephone | 7043841734 |
Practice Fax Number | 7043841736 |
Mailing Telephone | 7043841734 |
Mailing Fax Number | 7043841736 |
Enumeration Date | 2015-02-13 |
Last Update Date | 2015-10-21 |
Authorized Official Name | GEOFFREY GARDNER (VP FINANCE) |
Authorized Official Telephone | 7043841734 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Urgent Care and Occupational Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659746576 | Carolina Medicorp Enterprises Inc | Family Medicine | 2620 N Main Street, Suite 109, High Point, NC 27265-2735 | 2015-12-03 |
1295106110 | Carolina Medicorp Enterprises Inc | Emergency Medicine | 50 W 4th St, Suite 10, Winston-salem, NC 27101-4089 | 2015-10-19 |
1063806792 | Carolina Medicorp Enterprises Inc | Family Medicine | 6816 Matthews-mint Hill Road, Suite 101, Mint Hill, NC 28227-9324 | 2015-03-19 |
1164815262 | Carolina Medicorp Enterprises Inc | Family Medicine | 480 Fletcher Dr, Suite 3, Warrenton, VA 20186-2185 | 2015-03-13 |
1548274327 | Carolina Medicorp Enterprises Inc | Family Medicine | 2000 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5616 | 2006-07-28 |
1922537612 | Carolina Medicorp Enterprises Inc | Clinic/Center | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-06-07 |
1417497504 | Carolina Medicorp Enterprises Inc | Pediatrics | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-03-08 |
1841735024 | Carolina Medicorp Enterprises Inc | Pediatrics | 445 S Kings Dr, Charlotte, NC 28204-3041 | 2016-12-27 |
1689045239 | Carolina Medicorp Enterprises Inc | Family Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2015-10-08 |
1447634191 | Carolina Medicorp Enterprises Inc | Emergency Medicine | 4012 Battleground Ave Ste B, 1020, Greensboro, NC 27410-8592 | 2015-07-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Carolina Medicorp Enterprises Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
Virginia Business Entities | Carolina Medicorp Enterprises Inc. | 2085 Frontis Plaza Blvd, Winston-salem, North Carolina 27103 |
Street Address |
445 SOUTH KINGS DRIVE |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-3041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245615608 | Novant Medical Group, Inc. | Occupational Therapist | 445 South Kings Drive, Charlotte, NC 28204 | 2015-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
Find all providers in zip 28204 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
1780048348 | Cornelius Powell IIi | Emergency Medicine | Gme1000 Blythe Blvd., Meb, Suite 157, Carolinas Medical Center, Charlotte, NC 28203-2861 | 2016-04-11 |
1417185125 | Anil Kumar Chhabra | Emergency Medicine | 14714 Jockeys Ridge Dr, Charlotte, NC 28277-3717 | 2009-07-01 |
1669608709 | Anthony L Fox | Emergency Medicine | 8800 N Tyron St, Carolinas Medical Center -university, Charlotte, NC 28262 | 2009-06-03 |
1821250697 | Christopher Kirt Kessler | Emergency Medicine | 1133 Metropolitan Ave Unit 618, Charlotte, NC 28204-3401 | 2008-07-01 |
1265606784 | Michael Craig Flanders | Emergency Medicine | 8800 North Tryon St, Emp, Charlotte, NC 28262 | 2008-04-16 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.