CAROLINAS MEDICAL CENTER (NPI# 1700922952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700922952 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER |
| Other Organization Name | CAROLINAS MEDICAL CENTER NORTHPARK |
| Practice Address |
251 Eastway Dr Charlotte NC 28213-7103 |
| Mailing Address |
Po Box 32861 Charlotte NC 28232-2861 |
| Practice Telephone | 7043552000 |
| Mailing Telephone | 7045126438 |
| Mailing Fax Number | 7045126485 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | MR. GREG GOMBAR (ADMINISTRATOR) |
| Authorized Official Telephone | 7043552154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790252J | 05 | |
| NC | RAILROAD MEDICARE | CG2070 | 01 |
| SC | NPA779 | 05 |
| Other Name | Type Code |
|---|---|
| Carolinas Medical Center Northpark | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998575 | Carolinas Medical Center | General Acute Care Hospital | 2001 Vail Ave., Charlotte, NC 28207-1219 | 2014-10-24 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1366558959 | Carolinas Medical Center | Pharmacy | 1350 S Kings Dr Ste 101, Charlotte, NC 28207-2134 | 2006-08-23 |
| 1063900405 | Carolinas Medical Center | Internal Medicine | 126 Milestone Way, Greenville, SC 29615-5065 | 2018-05-01 |
| 1780197335 | Carolinas Medical Center | Internal Medicine | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2017-11-06 |
| 1578086187 | Carolinas Medical Center | Internal Medicine | 10502 Park Rd, Suite 110, Charlotte, NC 28210-8479 | 2017-07-25 |
| 1821467911 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2015-09-18 |
| 1346648235 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-12-09 |
| 1962825166 | Carolinas Medical Center | Surgery | 200 Medical Park Dr, Ste 320, Concord, NC 28025-2982 | 2014-01-24 |
| 1851712582 | Carolinas Medical Center | Family Medicine | 10650 Park Rd, Charlotte, NC 28210-8538 | 2013-12-24 |
| Street Address |
251 EASTWAY DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413698 | Shraddha Mehta | Obstetrics & Gynecology | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2005-08-04 |
| 1326435561 | Melissa Mcdole | Family Medicine | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2015-04-24 |
| 1427460393 | Dorothy Tran | Family Medicine | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2014-05-27 |
| 1891040341 | Julia Truman | Nurse Practitioner | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2012-07-20 |
| 1568785350 | Rochelle Tita | Pharmacist | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2010-03-08 |
| 1932336229 | Sarah Baker | Obstetrics & Gynecology | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2009-06-15 |
| 1619013562 | Carolinas Medical Center | Family Medicine | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2007-01-29 |
| 1003991548 | Felice James | Family Medicine | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2006-10-25 |
| 1063597508 | Andrea Desantis | Family Medicine | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2006-10-25 |
| 1083799548 | Jennifer Lane | Obstetrics & Gynecology | 251 Eastway Dr, Charlotte, NC 28213-7103 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1760024749 | Wellcomemd Charlotte Clinic, Inc | Clinic/Center | 8035 Providence Rd Ste 315, Charlotte, NC 28277-8909 | 2019-10-11 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1104303635 | Greenbrook Tms Charlotte LLC | Clinic/Center | 1515 Mockingbird Ln Ste 340, Charlotte, NC 28209-3298 | 2018-07-27 |
| 1811474976 | Elev8 Md Wellness Center | Clinic/Center | 8000 Corporate Center Dr Ste 212, Charlotte, NC 28226-4205 | 2018-07-23 |
| 1053801936 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 1225 S Caldwell St, Charlotte, NC 28203-4556 | 2018-05-16 |
| 1235642166 | Thrive Pediatric Therapy, Pllc | Clinic/Center | 3315 Springbank Ln Ste 206, Charlotte, NC 28226-3198 | 2017-11-14 |
| 1821501800 | 4 Life Lab | Clinic/Center | 11709 Fruehauf Dr Ste 103, Charlotte, NC 28273-7285 | 2017-11-13 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1750673729 | Al-falah Group PC | Clinic/Center | 3118 Milton Rd, A, Charlotte, NC 28215 | 2011-05-10 |
| Find all providers in CHARLOTTE | ||||
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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.