CAROLINA MEDICORP ENTERPRISES, INC. (NPI# 1417446667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417446667 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES, INC. |
| Other Organization Name | NOVANT HEALTH OCCUPATIONAL MEDICINE |
| Practice Address |
330 Billingsley Rd Ste 101 Charlotte NC 28211-5020 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 7043847605 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | SHALA DAVIS (RCS MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Occupational Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950646 | Carolina Medicorp Enterprises, Inc. | Clinic/Center | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2018-11-08 |
| 1235643420 | Carolina Medicorp Enterprises, Inc. | Emergency Medicine | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2017-11-27 |
| 1083127377 | Carolina Medicorp Enterprises, Inc. | Emergency Medicine | 9550 Rocky River Rd Ste 150, Charlotte, NC 28215-9592 | 2017-11-09 |
| 1730592577 | Carolina Medicorp Enterprises, Inc. | Family Medicine | 1730 E Woodlawn Rd, Suite D, Charlotte, NC 28209-2234 | 2014-06-10 |
| 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 |
330 BILLINGSLEY RD STE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536414 | Novant Medical Group, Inc. | Preventive Medicine | 330 Billingsley Rd Ste 101, Charlotte, NC 28211-5020 | 2018-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1528536414 | Novant Medical Group, Inc. | Preventive Medicine | 330 Billingsley Rd Ste 101, Charlotte, NC 28211-5020 | 2018-11-08 |
| 1144779083 | U.S. Healthworks Medical Group of North Carolina, PC | Preventive Medicine | 10616 Metromont Pkwy, Suite 102, Charlotte, NC 28269-7656 | 2016-10-03 |
| 1225299324 | Leigh Ann Barrett Holden | Preventive Medicine | 4221 Tuckaseegee Rd, Charlotte, NC 28208-2801 | 2008-06-20 |
| 1285894477 | Michele L. Jolley | Preventive Medicine | 4917 South Blvd, Charlotte, NC 28217-2166 | 2008-06-11 |
| 1992965180 | Beth I. Jenkins | Preventive Medicine | 4221 Tuckaseegee Rd, Charlotte, NC 28208-2801 | 2008-06-11 |
| 1275753287 | Fabienne Ransom | Preventive Medicine | 646 Westinghouse Blvd, Charlotte, NC 28273-6303 | 2007-05-01 |
| 1972621910 | Perry J Depietro | Preventive Medicine | 1614 South Blvd, Charlotte, NC 28203-4726 | 2007-03-27 |
| 1649373069 | Rodney K Justin | Preventive Medicine | 2711 Randolph Rd, Charlotte, NC 28207-2034 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336708353 | Elizabeth Hall Carver | Preventive Medicine | Box Dumc 3148, Durham, NC 27710-0001 | 2019-06-12 |
| 1104396761 | Novant Medical Group. Inc. | Preventive Medicine | 9600 E. Independence Blvd, Matthews, NC 28105-4628 | 2018-11-27 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1750623187 | Alexander Francis Sanchez Jr. | Preventive Medicine | 170 Iron Gate Cir, Mooresville, NC 28117-5518 | 2013-03-24 |
| 1386835098 | Michael Creel | Preventive Medicine | W A M C, Fort Bragg, NC 28310-0001 | 2007-08-07 |
| 1376745216 | Donald Merrill Garland | Preventive Medicine | 159 Stone House Road, Hendersonville, NC 28739-5830 | 2007-06-04 |
| 1417070897 | Terry Alice Mcinnis | Preventive Medicine | 203 Frenchmans Bluff Dr, Cary, NC 27513-5661 | 2007-04-09 |
| 1588779102 | Joseph Anthony Guarino | Preventive Medicine | 217 Turner Dr Ste A, Reidsville, NC 27320-5754 | 2006-08-21 |
| 1144289737 | Dennis John Darcey | Preventive Medicine | Box 3834 Dumc, Durham, NC 27710-0001 | 2006-03-22 |
| 1083686026 | Steven H St. Clair | Preventive Medicine | 1090 Northeast Gateway Court Ne, Suite 201, Concord, NC 28025-2440 | 2006-02-03 |
| 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.