CAROLINA HEALTHCARE ASSOCIATES, INC (NPI# 1720104409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720104409 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTHCARE ASSOCIATES, INC |
| Other Organization Name | NURSE PRACTITIONERS |
| Practice Address |
2131 S 17th St Wilmington NC 28401-7407 |
| Mailing Address |
2218 S 17th St Wilmington NC 28401-7515 |
| Practice Telephone | 9103437000 |
| Practice Fax Number | 9107729452 |
| Mailing Telephone | 9103437000 |
| Mailing Fax Number | 9107729452 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEBRA BURTON (DIRECTOR) |
| Authorized Official Telephone | 9103437000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000489 | 05 |
| Other Name | Type Code |
|---|---|
| Nurse Practitioners | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154735413 | Carolina Healthcare Associates, Inc | Family Medicine | 2523 Delaney Ave, Wilmington, NC 28403-6003 | 2014-06-16 |
| 1811299589 | Carolina Healthcare Associates, Inc | Family Medicine | 5058 Wrightsville Ave, Wilmington, NC 28403-7048 | 2010-12-01 |
| Street Address |
2131 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1689293300 | Broc D Astill | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| 1306485883 | Emily Kariuki | Registered Nurse | 1224 N King St, Wilmington, DE 19801-3232 | 2019-12-31 |
| 1265080857 | Jacquelyn Kimball | Registered Nurse | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2019-08-28 |
| 1750692588 | Elizabeth Goll | Registered Nurse | 1302 Medical Center Dr, Wilmington, NC 28401-7503 | 2010-06-26 |
| 1205168267 | Timothy J Sowicz | Registered Nurse | 908 E 16th St Ste B, Wilmington, DE 19802-5145 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740824440 | Sheliegh Shillito | Registered Nurse | 7542 Brookfield Dr, Lewisville, NC 27023-9649 | 2019-11-05 |
| 1295377679 | Caitlin Marie Watson | Registered Nurse | 103 Old Lime Kiln Rd, Arden, NC 28704-9498 | 2019-10-17 |
| 1871149856 | Patricia A. Brothers | Registered Nurse | 130 S Great White Way, Clayton, NC 27527-8918 | 2019-08-14 |
| 1548733934 | Chike Ifediorah | Registered Nurse | Duke Medical Center 2301 Erwin Road, Durham, NC 27710-5977 | 2019-01-08 |
| 1831565498 | Timothy Scott Sutton | Registered Nurse | 1508 Fairfield Dr, Gastonia, NC 28054-5123 | 2015-08-18 |
| 1598164345 | Stacy Washington | Registered Nurse | 201 S Mcpherson Church Rd Ste 228, Fayetteville, NC 28303-4995 | 2014-08-18 |
| 1124451950 | Meredith Raine Meilleur | Registered Nurse | 220 River Reach Dr, Swansboro, NC 28584-9121 | 2013-08-15 |
| 1649515156 | Julie Elizabeth Alexander | Registered Nurse | 19701 Bethel Church Rd Ste 103, Cornelius, NC 28031-4069 | 2012-12-10 |
| 1245532423 | Katara S Chavis | Registered Nurse | 78 Three Hunts Dr, Pembroke, NC 28372-8998 | 2010-11-22 |
| 1700902848 | Shirley Massey Hayes | Registered Nurse | 3209 Cricketeer Dr, Charlotte, NC 28216-3553 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.