CAROLINA MEDICAL SPECIALTIES, INC. (NPI# 1609944024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609944024 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICAL SPECIALTIES, INC. |
| Practice Address |
1111 1/2 Bragg Blvd Fayetteville NC 28301-4513 |
| Mailing Address |
Po Box 53277 Fayetteville NC 28305-3277 |
| Practice Telephone | 9104850500 |
| Practice Fax Number | 9104852060 |
| Mailing Telephone | 9104850500 |
| Mailing Fax Number | 9104852600 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MR. DIMITRI K. SLEEM (DIRECTOR) |
| Authorized Official Telephone | 9104850500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 01069 | NC | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | 01069 | NC | Suppliers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
01069 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7704467 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467650440 | Carolina Medical Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 420 Raleigh St, Suite D, Wilmington, NC 28412-6316 | 2007-07-11 |
| 1205034592 | Carolina Medical Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 123 Tarboro St Sw, Wilson, NC 27893-3911 | 2007-07-06 |
| 1083746655 | Carolina Medical Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 420 Raleigh St Ste D, Wilmington, NC 28412-6335 | 2007-03-09 |
| Street Address |
1111 1/2 BRAGG BLVD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376783431 | Chesapeake Rehab Equipment Inc. | Durable Medical Equipment & Medical Supplies | 1111 1/2 Bragg Blvd, Fayetteville, NC 28301-4513 | 2009-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700438587 | Evelyn Ray LLC | Durable Medical Equipment & Medical Supplies | 12570 Lakeside Pkwy, Fayetteville, GA 30215-4002 | 2019-07-12 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1528116530 | Summers and Koonce Inc | Durable Medical Equipment & Medical Supplies | 214 Owen Dr, Fayetteville, NC 28304-3414 | 2007-01-08 |
| 1518933217 | Ez Ryder Kreative Mobile Lifestyles Inc | Durable Medical Equipment & Medical Supplies | 10302 Fayetteville Rd, Fayetteville, NC 28304-9133 | 2006-02-23 |
| 1306186747 | Asm LLC | Durable Medical Equipment & Medical Supplies | 2603 Main Dr Ste 3, Fayetteville, AR 72704-5281 | 2013-02-21 |
| 1376783431 | Chesapeake Rehab Equipment Inc. | Durable Medical Equipment & Medical Supplies | 1111 1/2 Bragg Blvd, Fayetteville, NC 28301-4513 | 2009-03-03 |
| 1235344813 | Children's Therapy Services, Inc | Durable Medical Equipment & Medical Supplies | 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703-4519 | 2007-05-14 |
| 1881687812 | Cumberland County Hospital System, Inc | Durable Medical Equipment & Medical Supplies | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
| 1093327736 | Mcduffie & Associates, Inc | Durable Medical Equipment & Medical Supplies | 203 Church Hill Ct, New Bern, NC 28562-4870 | 2020-08-22 |
| 1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
| 1366067035 | Carolina Hair Loss & Prosthetics | Durable Medical Equipment & Medical Supplies | 1903 N Pine St, Lumberton, NC 28358-3969 | 2020-06-09 |
| 1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
| 1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
| 1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.