CAROLINA MEDICORP ENTERPRISES, INC (NPI# 1104239953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104239953 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES, INC |
| Other Organization Name | NOVANT HEALTH EXPRESS |
| Practice Address |
610 Jetton St Suite 214 Davidson NC 28036-9320 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 7043841555 |
| Practice Fax Number | 7043841557 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Express | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209539 | Carolina Medicorp Enterprises, Inc | Family Medicine | 622 Indian Trail Rd S, Indian Trail, NC 28079-9680 | 2014-09-26 |
| 1013386895 | Carolina Medicorp Enterprises, Inc | Family Medicine | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2015-09-22 |
| 1649512922 | Carolina Medicorp Enterprises, Inc | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2013-03-25 |
| 1568709061 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 1977 Cotton Grove Rd, Lexington, NC 27292-5721 | 2013-01-04 |
| 1437438694 | Carolina Medicorp Enterprises, Inc | Family Medicine | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 | 2011-08-05 |
| 1659339596 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 501 Hickory Branch Dr, Greensboro, NC 27409-9601 | 2006-05-02 |
| 1154389088 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 3833 High Point Rd, Dba Primecare Greensboro, Greensboro, NC 27407-4649 | 2006-05-02 |
| 1144288085 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 501 Hickory Branch Dr, Dba Primecare Hickory Branch, Greensboro, NC 27409-9601 | 2006-05-02 |
| 1710945696 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 111 Gateway Center Dr, Dba Primecare Kernersville, Kernersville, NC 27284-2999 | 2006-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Carolina Medicorp Enterprises, Inc. | , , |
| Virginia Business Entity | Carolina Medicorp Enterprises, Inc. | 2085 FRONTIS PLAZA BLVD , WINSTON-SALEM, NC 27103 |
| Street Address |
610 JETTON ST SUITE 214 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306005632 | Brian T. Seese, D.m.d., P.a. | Health Maintenance Organization | 610 Jetton St, Suite 250, Davidson, NC 28036-9318 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1104800622 | Craig Justice White | Family Medicine | 104 Knox Court, Suite 100, Davidson, NC 28036 | 2005-11-30 |
| 1902333552 | Ryan Corbello | Family Medicine | 705 Griffith St, Ste 100, Davidson, NC 28036-9304 | 2017-05-15 |
| 1841305380 | Jodi N Stutts | Family Medicine | 705 Griffith St, Suite 100, Davidson, NC 28036-9304 | 2006-08-21 |
| 1275553448 | Tonya Hudson | Family Medicine | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2006-07-20 |
| 1689690067 | Joan I. Schwanz | Family Medicine | 705 Griffith St, Suite 100, Davidson, NC 28036-9304 | 2006-07-15 |
| 1477584316 | Ronnie Beamon | Family Medicine | 705 Griffith St, Ste 100, Davidson, NC 28036-9304 | 2006-07-06 |
| 1760413694 | Robert Figueroa | Family Medicine | 705 Griffith St, Ste 100, Davidson, NC 28036-9304 | 2006-07-06 |
| 1902837073 | Davidson Clinic | Family Medicine | 705 Griffith St, Ste 100, Davidson, NC 28036-9304 | 2006-07-06 |
| 1811958812 | Davidson Family Medicine, P.a. | Family Medicine | 104 Knox Court, Suite 100, Davidson, NC 28036-4329 | 2006-03-29 |
| Find all providers in DAVIDSON | ||||
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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.