CAROLINA MEDICORP ENTERPRISES INC (NPI# 1295106110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295106110 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES INC |
| Practice Address |
50 W 4th St Suite 10 Winston-salem NC 27101-4089 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367184705 |
| Practice Fax Number | 3367184702 |
| Mailing Telephone | 7043847605 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | GEOFFERY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746576 | Carolina Medicorp Enterprises Inc | Family Medicine | 2620 N Main Street, Suite 109, High Point, NC 27265-2735 | 2015-12-03 |
| 1063806792 | Carolina Medicorp Enterprises Inc | Family Medicine | 6816 Matthews-mint Hill Road, Suite 101, Mint Hill, NC 28227-9324 | 2015-03-19 |
| 1164815262 | Carolina Medicorp Enterprises Inc | Family Medicine | 480 Fletcher Dr, Suite 3, Warrenton, VA 20186-2185 | 2015-03-13 |
| 1003207960 | Carolina Medicorp Enterprises Inc | Family Medicine | 445 South Kings Drive, Charlotte, NC 28204-3041 | 2015-02-13 |
| 1548274327 | Carolina Medicorp Enterprises Inc | Family Medicine | 2000 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5616 | 2006-07-28 |
| 1922537612 | Carolina Medicorp Enterprises Inc | Clinic/Center | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-06-07 |
| 1417497504 | Carolina Medicorp Enterprises Inc | Pediatrics | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-03-08 |
| 1841735024 | Carolina Medicorp Enterprises Inc | Pediatrics | 445 S Kings Dr, Charlotte, NC 28204-3041 | 2016-12-27 |
| 1689045239 | Carolina Medicorp Enterprises Inc | Family Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2015-10-08 |
| 1447634191 | Carolina Medicorp Enterprises Inc | Emergency Medicine | 4012 Battleground Ave Ste B, 1020, Greensboro, NC 27410-8592 | 2015-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Carolina Medicorp Enterprises Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Virginia Business Entities | Carolina Medicorp Enterprises Inc. | 2085 Frontis Plaza Blvd, Winston-salem, North Carolina 27103 |
| Street Address |
50 W 4TH ST SUITE 10 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27101-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| 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 |
|---|---|---|---|---|
| 1578706925 | Baljinder Kumar | Family Medicine | 7811 North Point Blvd, Winston-salem, NC 27106 | 2009-04-15 |
| 1346487964 | Forsythe Memorial Hospital, Inc | Family Medicine | 5110 Robinhood Village Dr, Suite C-1, Winston-salem, NC 27106-5476 | 2009-01-20 |
| 1487751921 | Adnan Nogo | Family Medicine | 160 Kimel Park Dr., Winston-salem, NC 27103 | 2006-09-19 |
| 1073553426 | Rhc & Allied Health Associates | Family Medicine | 3009 Waughtown St, Winston-salem, NC 27107-1634 | 2006-06-07 |
| 1548221617 | William Franklin Folds | Family Medicine | 2801 Lyndhurst Ave, Winston-salem, NC 27103-4109 | 2006-03-29 |
| 1922069079 | Thomas Lynn Jolly | Family Medicine | 2801 Lyndhurst Avenue, Winston-salem, NC 27103-4109 | 2006-03-29 |
| 1346213188 | Lexmedical, Inc. | Family Medicine | 799 Hickory Tree Rd, Winston-salem, NC 27127-9139 | 2006-02-10 |
| 1114999752 | Robert G Kelly | Family Medicine | Robinhood Medcal Plaza, Bldg 100, Winston-salem, NC 27106 | 2006-02-07 |
| 1427020015 | Champ M Jones | Family Medicine | Robinhood Medical Plaza, Bldg 100, Winston-salem, NC 27106 | 2006-02-07 |
| 1861464935 | Mark Powers Maier Jr. | Family Medicine | 12208 Hwy 150 North, Dba Arcadia Family Practice, Winston-salem, NC 27127 | 2006-02-03 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on CAROLINA MEDICORP ENTERPRISES INC.
| 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.