CAROLINA MEDICORP ENTERPRISES INC


Address: 445 South Kings Drive, Charlotte, NC 28204-3041
Phone: 7043841734

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Novant Health Urgent Care and Occupational Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 445 SOUTH KINGS DRIVE
City CHARLOTTE
State NC
Zip Code 28204-3041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245615608 Novant Medical Group, Inc. Occupational Therapist 445 South Kings Drive, Charlotte, NC 28204 2015-07-28

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

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.

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