CAROLINA MEDICORP ENTERPRISES INC (NPI# 1689045239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689045239 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES INC |
| Other Organization Name | NOVANT HEALTH URGENT CARE & OCCUPATIONAL MEDICINE |
| Practice Address |
10322 Bristow Center Dr Bristow VA 20136-2201 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 5712844245 |
| Mailing Telephone | 5712844245 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | GEOFFERY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 5712844245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Urgent Care & Occupational Medicine | Doing Business As Name - Organization |
| 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 |
| 1295106110 | Carolina Medicorp Enterprises Inc | Emergency Medicine | 50 W 4th St, Suite 10, Winston-salem, NC 27101-4089 | 2015-10-19 |
| 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 |
| 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 |
10322 BRISTOW CENTER DR |
| City | BRISTOW |
| State | VA |
| Zip Code | 20136-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841216900 | Belinda B Berame | Legal Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2006-07-14 |
| 1972978195 | Nmg Affiliate Practice I, LLC | Emergency Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2015-12-14 |
| 1184917171 | Zeeshan Javaid | Family Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2011-05-24 |
| 1003044140 | Rebecca A Rehmann | Family Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2009-06-28 |
| 1659533800 | Erica Monique Allen Winslow | Family Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405802 | Dharika Bhavsar | Nurse Practitioner | 12207 Desoto Falls Ct, Bristow, VA 20136 | 2017-02-07 |
| 1902284649 | Paul Choi | Physical Therapist | 6858 Old Dominion Drive, Mclean, VA 20136 | 2015-05-14 |
| 1700123031 | Sunlight Home Care Agency | Home Health | 8902 Stable Forest Pl, Bristow, VA 20136 | 2013-01-07 |
| 1437407996 | Elizabeth Michelle Bender | Specialist/Technologist | 12171 Hopper Lane, Bristow, VA 20136 | 2012-08-15 |
| 1477793966 | Pediatrics First Speech Therapy | Speech-Language Pathologist | 10056 Pentland Hills Way, Bristow, VA 20136 | 2009-02-24 |
| 1750599247 | Harris Teeter, LLC | Pharmacy | 10438 Bristow Center Dr., Bristow, VA 20136 | 2007-05-18 |
| 1588760490 | Margaret Precious Neal-stubblefield | Dentist | 12701 Braemar Village Plaza, Bristow, VA 20136 | 2006-09-16 |
| 1538726203 | Brightstone, LLC | Family Medicine | 10040 Pentland Hills Way, Bristow, VA 20136 | 2019-05-28 |
| 1578766036 | Kevin Wade Toms | Dentist | 9070 Devlin Rd, #140, Bristow, VA 20136-1041 | 2007-06-11 |
| 1407011869 | Michelle Klima Toms | Dentist | 9070 Devlin Rd, Suite 140, Bristow, VA 20136-1041 | 2008-07-25 |
| Find all providers in zip 20136 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972978195 | Nmg Affiliate Practice I, LLC | Emergency Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734437 | Nh Digital Health Services, LLC | Emergency Medicine | 8650 Sudley Rd Ste 411, Manassas, VA 20110-4416 | 2020-09-14 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1780102608 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 105 Cameron Rd, Forest, VA 24551-1342 | 2017-08-30 |
| 1346763604 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1330 Armory Drive, Franklin, VA 23851-2420 | 2017-07-19 |
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1639602345 | Vishal Kant Goswami | Emergency Medicine | 4320 Seminary Rd Dept Of, Alexandria, VA 22304-1535 | 2017-04-10 |
| 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.