CAROLINAS PHYSICIANS NETWORK, INC. (NPI# 1154587103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154587103 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK, INC. |
| Other Organization Name | CORNELIUS FAMILY MEDICINE |
| Practice Address |
9606 Caldwell Commons Cir Ste B Cornelius NC 28031-8111 |
| Mailing Address |
Po Box 602095 Charlotte NC 28260-2095 |
| Practice Telephone | 7048923213 |
| Practice Fax Number | 7048923966 |
| Mailing Telephone | 7048923213 |
| Mailing Fax Number | 7048923966 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | MR. DANIEL L. WIENS (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS PHYSICIANS NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cornelius Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
| 1467882803 | Carolinas Physicians Network, Inc. | Internal Medicine | 10650 Park Rd Ste 250, Charlotte, NC 28210-0204 | 2013-11-21 |
| 1275858698 | Carolinas Physicians Network, Inc. | Pediatrics | 705 Griffith Street, Suite 100, Davidson, NC 28036-9305 | 2010-03-29 |
| 1073838496 | Carolinas Physicians Network, Inc. | Pediatrics | 6030 West Highway 74, Suite F, Indian Trail, NC 28079-3469 | 2010-03-29 |
| 1215252739 | Carolinas Physicians Network, Inc. | Internal Medicine | 19620 West Catawba Avenue, Suite 204, Cornelius, NC 28031-4054 | 2010-03-29 |
| 1952626376 | Carolinas Physicians Network, Inc. | Pediatrics | 14214 Ballantyne Lake Road, Suite 150, Charlotte, NC 28277-3373 | 2010-03-29 |
| 1679896054 | Carolinas Physicians Network, Inc. | Obstetrics & Gynecology | 5425 Prosperity Church Rd, 2nd Floor, Charlotte, NC 28269-1134 | 2010-03-12 |
| 1053642363 | Carolinas Physicians Network, Inc. | Psychologist | 5435 Prosperity Church Road, Ste 2200, Charlotte, NC 28269-2344 | 2010-01-26 |
| 1184852105 | Carolinas Physicians Network, Inc. | Internal Medicine | 52 Hospital Dr, Suite 3-a, Columbus, NC 28722-8516 | 2009-06-29 |
| Street Address |
9606 CALDWELL COMMONS CIR STE B |
| City | CORNELIUS |
| State | NC |
| Zip Code | 28031-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548530199 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 9606 Caldwell Commons Cir, Suite B, Cornelius, NC 28031-8111 | 2012-01-12 |
| 1255641957 | Carolinas Physicians Network Inc | Internal Medicine | 9606 Caldwell Commons Cir, Suite B, Cornelius, NC 28031-8111 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827221 | Jessica Leigh Akbari | Behavior Technician | 16915 Liverpool Pkwy. Suite B, Cornelius, NC 28031 | 2020-10-02 |
| 1548871569 | Aalasa Brooks | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1366053381 | Mary-clara Pearl Mcalister | Behavior Technician | 16915 Liverpool Parkway, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1851926075 | Cherie Torrence | Acupuncturist | 16930 W. Catawba Ave 203, Cornelius, NC 28031 | 2020-03-09 |
| 1154970481 | 100 Percent Chiropractic Padilla, LLC | Chiropractor | 19722 One Norman Drive, Suite 210, Cornelius, NC 28031 | 2019-09-09 |
| 1528628526 | O'brien and West, Dmd Viii, Pllc | Dentist | 19911 Zion Ave Bldg D, Ste. #d4, Cornelius, NC 28031 | 2019-06-20 |
| 1548775182 | Gretchen Anthony | Social Worker | 17105 Kenton Drive, Suite 201c, Cornelius, NC 28031 | 2017-12-05 |
| 1669842076 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21720 Catawba Ave, Cornelius, NC 28031 | 2015-09-28 |
| 1518336296 | Special Touch Living | Clinic/Center | 11262 Heritage Green Drive, Cornelius, NC 28031 | 2015-09-23 |
| 1568830917 | Michelle Rene Skaggs | Occupational Therapist | 9075 Rosalyn Glen Rd, Cornelius, NC 28031 | 2015-09-02 |
| Find all providers in zip 28031 | ||||
| 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 |
|---|---|---|---|---|
| 1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
| 1134481377 | Amanda Evelyn White | Family Medicine | 19485 Old Jetton Rd Ste 200, Cornelius, NC 28031 | 2012-06-13 |
| 1700060092 | Mario Augusto Hernandez | Family Medicine | 18509 Statesville Rd Ste B1, Cornelius, NC 28031-5703 | 2007-12-21 |
| 1427186022 | Heather Michelle Manos | Family Medicine | 19485 Old Jetton Rd Ste 270, Cornelius, NC 28031-6592 | 2007-03-02 |
| 1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
| 1578523874 | Phuong M Nguyen | Family Medicine | 19830 Zion Ave, Cornelius, NC 28031-1783 | 2006-03-23 |
| 1679552822 | Lee B Lindquist | Family Medicine | 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031-6583 | 2006-01-15 |
| 1619599172 | Renew Health and Wellness | Family Medicine | 19824 W Catawba Ave Ste E, Cornelius, NC 28031-4046 | 2020-05-07 |
| 1871122184 | Carley Borrelli | Family Medicine | 19475 Old Jetton Rd Ste 200, Cornelius, NC 28031-6591 | 2020-04-07 |
| 1336778455 | Rebecca Groch | Family Medicine | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2020-04-02 |
| Find all providers in CORNELIUS | ||||
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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.