CAROLINA MEDICORP ENTERPRISES INC (NPI# 1841735024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841735024 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES INC |
| Other Organization Name | NOVANT HEALTH PEDIATRIC URGENT CARE |
| Practice Address |
445 S Kings Dr Charlotte NC 28204-3041 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 7043841734 |
| Practice Fax Number | 7043841736 |
| Mailing Telephone | 3367650710 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | MR. GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043841734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Pediatric Urgent Care | 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 |
| 1689045239 | Carolina Medicorp Enterprises Inc | Family Medicine | 10322 Bristow Center Dr, Bristow, VA 20136-2201 | 2015-10-08 |
| 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 |
445 S KINGS DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043328370 | John S Dawson | Family Medicine | 445 S Kings Dr, Charlotte, NC 28204-3041 | 2006-08-28 |
| 1720536378 | Nicole Vital | Physician Assistant | 445 S Kings Dr, Charlotte, NC 28204-3041 | 2016-09-12 |
| 1457772972 | Nicole Michele Cahanin | Physical Therapist | 445 S Kings Dr, Charlotte, NC 28204 | 2013-12-31 |
| 1669727087 | Kevin Andrew Smallman | Nurse Practitioner | 445 S Kings Dr, Charlotte, NC 28204-3041 | 2012-07-23 |
| 1194987677 | Mohammad Khalil Kasaji | Family Medicine | 445 S Kings Dr, Charlotte, NC 28204-3041 | 2008-06-26 |
| 1790946614 | Shawn Ashley Leis | Physical Therapist | 445 S Kings Dr, Suite 100, Charlotte, NC 28204-3041 | 2008-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| 1962042416 | Carolinas Physicians Network Inc | Pediatrics | 1308 Scott Ave, Charlotte, NC 28204-2918 | 2020-01-13 |
| 1083175533 | Denise Makala | Pediatrics | 1000 Blythe Blvd 4th Floor, Meb, Cmc/levine Children's Hospital, Charlotte, NC 28203-5812 | 2019-03-27 |
| 1639565526 | Emily Ogletree | Pediatrics | 8401 Medical Plaza Dr Ste 220, Charlotte, NC 28262-8700 | 2015-04-08 |
| 1811392343 | Adriana Virginia Rosado-jimenez | Pediatrics | 10340 Park Rd Ste B, Charlotte, NC 28210-8401 | 2014-10-27 |
| 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.