MR. CARSON MICHAEL CLOSE (NPI# 1073981437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073981437 |
| Entity Type | Individual |
| Full Name | MR. CARSON MICHAEL CLOSE |
| Credential | PA-C |
| Practice Address |
110 Division St Norlina NC 27563-9041 |
| Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
| Practice Telephone | 2524562009 |
| Practice Fax Number | 2524562889 |
| Mailing Telephone | 2525365440 |
| Mailing Fax Number | 2525365444 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-05928 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 DIVISION ST |
| City | NORLINA |
| State | NC |
| Zip Code | 27563-9041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058433 | Marion Monique Keeling | Nurse Practitioner | 110 Division St, Norlina, NC 27563-9041 | 2006-01-18 |
| 1407317118 | Brittany Hall-potvin | Physician Assistant | 110 Division St, Norlina, NC 27563-9041 | 2019-03-26 |
| 1376793935 | Jenna Lee Enoch | Physician Assistant | 110 Division St, Norlina, NC 27563-9041 | 2008-09-19 |
| 1699924621 | Rural Health Group Inc | Pharmacy | 110 Division St, Norlina, NC 27563-9041 | 2008-09-15 |
| 1831168855 | Penney Elaine Parker | Nurse Practitioner | 110 Division St, Norlina, NC 27563-9041 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275898 | Winston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 103 White Circle, Norlina, NC 27563 | 2013-06-18 |
| 1497194229 | Small Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 610 Heaven Street, Norlina, NC 27563 | 2013-06-14 |
| 1003254152 | Mary Reid | Community Health Worker | 191 Railroad Land, Norlina, NC 27563 | 2013-06-11 |
| 1891968095 | Gilbert Anderson Barnes | Counselor | 201 Hyco Street, Norlina, NC 27563 | 2008-04-08 |
| 1326094624 | John B Anderson | Family Medicine | 101-a Professional Park Dr., Oxford, NC 27563 | 2006-05-26 |
| 1477992972 | Smith Landing 1 | Psychiatric Residential Treatment Facility | 611 Division Street, Norlina, NC 27563 | 2013-06-18 |
| 1538452552 | Another Chance Family Services | Counselor | 201 Hyco Street, Norlina, NC 27563 | 2011-05-24 |
| 1235437229 | Processing Unlimited Consulting Service | Non-emergency Medical Transport (VAN) | 106 Rooker Street, Norlina, NC 27563-0072 | 2011-03-01 |
| 1700045820 | Rural Health Group, Inc. | Clinic/Center | 110 Division Street, Norlina, NC 27563-0149 | 2008-06-04 |
| 1235775065 | Regjean Pitt | Technician | 16 Town and Country Lane, Norlina, NC 27563-0436 | 2019-11-27 |
| Find all providers in zip 27563 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407317118 | Brittany Hall-potvin | Physician Assistant | 110 Division St, Norlina, NC 27563-9041 | 2019-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| 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.