CAROLINA MEDICORP ENTERPRISES, INC (NPI# 1649512922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649512922 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES, INC |
| Other Organization Name | NOVANT HEALTH EXPRESS CARE |
| Practice Address |
4136 Clemmons Rd Clemmons NC 27012-7520 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3368933270 |
| Mailing Telephone | 3368933270 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF NMG FINANCE) |
| Authorized Official Telephone | 7043849144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Express Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209539 | Carolina Medicorp Enterprises, Inc | Family Medicine | 622 Indian Trail Rd S, Indian Trail, NC 28079-9680 | 2014-09-26 |
| 1013386895 | Carolina Medicorp Enterprises, Inc | Family Medicine | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 2015-09-22 |
| 1104239953 | Carolina Medicorp Enterprises, Inc | Family Medicine | 610 Jetton St, Suite 214, Davidson, NC 28036-9320 | 2014-06-10 |
| 1568709061 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 1977 Cotton Grove Rd, Lexington, NC 27292-5721 | 2013-01-04 |
| 1437438694 | Carolina Medicorp Enterprises, Inc | Family Medicine | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 | 2011-08-05 |
| 1659339596 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 501 Hickory Branch Dr, Greensboro, NC 27409-9601 | 2006-05-02 |
| 1154389088 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 3833 High Point Rd, Dba Primecare Greensboro, Greensboro, NC 27407-4649 | 2006-05-02 |
| 1144288085 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 501 Hickory Branch Dr, Dba Primecare Hickory Branch, Greensboro, NC 27409-9601 | 2006-05-02 |
| 1710945696 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 111 Gateway Center Dr, Dba Primecare Kernersville, Kernersville, NC 27284-2999 | 2006-05-02 |
| 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 |
4136 CLEMMONS RD |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-7520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489314 | Steven Edward Helman | Internal Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2005-06-28 |
| 1083249437 | Kathryn Elizabeth Brockway | Physician Assistant | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2020-03-05 |
| 1710547369 | Novant Medical Group, Inc. | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2019-06-17 |
| 1184070237 | Rebecca Faith Myers | Physician Assistant | 4136 Clemmons Rd, Clemmons, NC 27012 | 2016-05-09 |
| 1992787501 | Danielle Marguerite Carter Adkins | Physician Assistant | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| 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 |
|---|---|---|---|---|
| 1518141407 | Clemmons Urgent and Primary Care, Pa | Family Medicine | 2245 Lewisville Clemmons Rd Ste C, Clemmons, NC 27012-7461 | 2007-12-27 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1346208113 | Travis Worth Howell | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012 | 2006-05-02 |
| 1629064191 | Arie Mantin | Family Medicine | 2245 Lewisville Clemmons Rd, Clemmons, NC 27012-7461 | 2005-09-21 |
| 1205473261 | Novant Medical Group. Inc. | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2019-12-09 |
| 1710547369 | Novant Medical Group, Inc. | Family Medicine | 4136 Clemmons Rd, Clemmons, NC 27012-7520 | 2019-06-17 |
| 1629506449 | Novant Medical Group, Inc | Family Medicine | 6915 Village Medical Cir, Clemmons, NC 27012-8002 | 2017-05-24 |
| 1114332293 | Forsyth Memorial Hospital | Family Medicine | 7130 Village Medical Cir, Clemmons, NC 27012-8004 | 2014-06-26 |
| 1972915510 | Piedmont Community Physicians PC | Family Medicine | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2014-06-02 |
| 1386056067 | David M Villanueva | Family Medicine | 2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2014-05-29 |
| Find all providers in CLEMMONS | ||||
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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.