CAROLINA ADVANCED WELLNESS, PLLC (NPI# 1538785159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538785159 |
| Entity Type | Organization |
| Organization Name | CAROLINA ADVANCED WELLNESS, PLLC |
| Practice Address |
16623 Birkdale Commons Pkwy Ste 120 Huntersville NC 28078-5641 |
| Mailing Address |
11035 Golf Links Dr # 79217 Charlotte NC 28277-8045 |
| Practice Telephone | 7042478355 |
| Mailing Telephone | 7042478355 |
| Mailing Fax Number | 7042478355 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | JERRY SAUNDERS (OWNERR) |
| Authorized Official Telephone | 7042478355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
16623 BIRKDALE COMMONS PKWY STE 120 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| 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 |
|---|---|---|---|---|
| 1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
| 1689946147 | Medical Center At Northcross | Family Medicine | 16511a Northcross Dr Ste A, Huntersville, NC 28078-5081 | 2012-01-30 |
| 1588941496 | Mooresville Ppm LLC | Family Medicine | 16630 Northcross Dr, Huntersville, NC 28078-5048 | 2011-11-05 |
| 1073798690 | Folake Victoria Falaki | Family Medicine | 9615 Kincey Ave Ste 100, Huntersville, NC 28078-9140 | 2008-01-02 |
| 1417037300 | Charles Jasper Atkinson | Family Medicine | 6909 Prosperity Church Rd, Huntersville, NC 28078-6698 | 2006-10-16 |
| 1578507380 | Jonie Myrstol Girouard | Family Medicine | 15806 Brookway Dr, Suite 400, Huntersville, NC 28078 | 2006-06-15 |
| 1205883212 | Richard Arden Kerecman | Family Medicine | 407 Gilead Rd, Huntersville, NC 28078-6899 | 2006-05-27 |
| 1821060245 | Loveleen K Barringer | Family Medicine | 16525 Holly Crest Ln, Suite 150, Huntersville, NC 28078-4909 | 2006-02-02 |
| 1124008073 | Michael B Thomas | Family Medicine | 9611 Sherrill Estates Rd Ste B, Huntersville, NC 28078 | 2006-01-18 |
| 1215911169 | Northcross Medical Center PC | Family Medicine | 16511 A Northcross Dr, Huntersville, NC 28078-5021 | 2005-12-05 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.