CHS NORTH CAROLINA MEDICAL, PC (NPI# 1023430113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023430113 |
| Entity Type | Organization |
| Organization Name | CHS NORTH CAROLINA MEDICAL, PC |
| Other Organization Name | GOODLIFE HEALTH CENTER |
| Practice Address |
6650 Ramsey St Fayetteville NC 28311-9318 |
| Mailing Address |
5500 Maryland Way Ste 200 Brentwood TN 37027-4973 |
| Practice Telephone | 9106305203 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | STUART CLARK (EXECUTIVE VP) |
| Authorized Official Telephone | 7037600700 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS HEALTH SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Goodlife Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336542133 | Chs North Carolina Medical, PC | General Practice | 7855 Doral Dr, Administrative Blvd 2nd Floor, Tobaccoville, NC 27050-9002 | 2014-10-07 |
| 1619370400 | Chs North Carolina Medical, PC | General Practice | 401 N Main St, Winston Salem, NC 27101-3804 | 2014-10-07 |
| 1407259203 | Chs North Carolina Medical, PC | General Practice | 5500 Maryland Way, Ste 200, Brentwood, TN 37027-4948 | 2014-10-07 |
| Street Address |
6650 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311-9318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647576 | Marcelo R. Perez-montes | Preventive Medicine | 6650 Ramsey St, Fayetteville, NC 28311-9318 | 2005-05-23 |
| 1548817976 | Healthstat Onsite Clinic Goodyear-fayetteville | Preventive Medicine | 6650 Ramsey St, Fayetteville, NC 28311-9318 | 2019-08-21 |
| 1518008754 | Ramona Toussaint | Physician Assistant | 6650 Ramsey St, Fayetteville, NC 28311-9318 | 2007-02-09 |
| 1649280892 | Sandra Bellamy Smith | Physician Assistant | 6650 Ramsey St, Tchs-goodyear, Fayetteville, NC 28311-9318 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
| 1053754622 | Hessel Kooistra IIi | General Practice | 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614 | 2013-04-12 |
| 1861636607 | John James Sacco | General Practice | 5018 Worthington Way, Fayetteville, NY 13066-8703 | 2009-04-23 |
| 1093877441 | Michael R Ressal | General Practice | 3415 C1 Melrose Road, Fayetteville, NC 28304-1608 | 2006-12-14 |
| 1184727711 | Donald Eric Milmore | General Practice | 120 Walnut Street, Fayetteville, NY 13066-2028 | 2006-09-07 |
| 1710993654 | Scott David Fedosky | General Practice | 2603 Main Dr, Suite # 6, Fayetteville, AR 72704-5278 | 2006-07-31 |
| 1356377741 | Linda M Ekman | General Practice | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2006-06-25 |
| 1902832660 | Janet Lynn Titus | General Practice | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-24 |
| 1720020712 | Diane Elizabeth Ashby | General Practice | 207 W Maple Ave, Fayetteville, WV 25840-1413 | 2006-06-12 |
| 1427008093 | Medical Associates of Northwest Arkansas Pa | General Practice | 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 | 2006-05-12 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
Please comment or provide details below to improve the information on CHS NORTH CAROLINA MEDICAL, PC.
| 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.