CAROLINA ANTI-AGING & WELLNESS CENTER PA (NPI# 1013142488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013142488 |
| Entity Type | Organization |
| Organization Name | CAROLINA ANTI-AGING & WELLNESS CENTER PA |
| Practice Address |
1227 Carthage St Sanford NC 27330-8984 |
| Practice Telephone | 9197740502 |
| Practice Fax Number | 9197740505 |
| Mailing Telephone | 9197740502 |
| Mailing Fax Number | 9197740505 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Authorized Official Name | SUSAN WATSON DURHAM (PRESIDENT) |
| Authorized Official Telephone | 9197740502 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
39413 | NC | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
39413 | NC | Ambulatory Health Care Facilities |
| Street Address |
1227 CARTHAGE ST |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-8984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245247592 | Susan Watson Durham | Anesthesiology | 1227 Carthage St, Sanford, NC 27330-8984 | 2006-08-01 |
| 1346623683 | Theresa G Berthelette | Physical Therapist | 1227 Carthage St, Sanford, NC 27330-8984 | 2015-07-06 |
| 1275913873 | Mary Veit | Physical Therapist | 1227 Carthage St, Sanford, NC 27330-8984 | 2015-06-09 |
| 1124408844 | Amy Hilburn | Physical Therapist | 1227 Carthage St, Sanford, NC 27330-8984 | 2015-06-08 |
| 1770916611 | Firsthealth of The Carolinas, Inc. | Neurological Surgery | 1227 Carthage St, Sanford, NC 27330-8984 | 2013-08-14 |
| 1972943926 | Robert C Magee | Physical Therapist | 1227 Carthage St, Sanford, NC 27330-8984 | 2013-07-04 |
| 1417397464 | Virginia B Barbour | Physical Therapist | 1227 Carthage St, Sanford, NC 27330-8984 | 2013-07-04 |
| 1144660192 | Brandi B Bossinger | Physical Therapist | 1227 Carthage St, Sanford, NC 27330-8984 | 2013-07-04 |
| 1376819037 | Mcpc-6, LLC | Anesthesiology | 1227 Carthage St, Sanford, NC 27330-8984 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639540180 | Pine Ridge of Sanford Primary Care Pllc | Clinic/Center | 3072 South Horner Blvd, Sanford, NC 27331 | 2015-10-09 |
| 1073712337 | Doctors Vital Care and Screening, Pllc | Clinic/Center | 150 N Steele St, Sanford, NC 27330-3918 | 2007-07-16 |
| 1528233012 | Carolina Medicine, P.C. | Clinic/Center | 310 Court Square, Sanford, NC 27330-5657 | 2008-04-25 |
| 1659571404 | Primary Care Associates of Florida LLC | Clinic/Center | 1403 Medical Plaza Dr, Suite 107, Sanford, FL 32771-1000 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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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.