CAROLINAS PHYSICIANS NETWORK INC. (NPI# 1912299413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912299413 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK INC. |
| Other Organization Name | PEDIATRIC UROLOGY ASSOCIATES |
| Practice Address |
704 Gold Hill Rd Suite 203 Fort Mill SC 29715-8906 |
| Mailing Address |
Po Box 602148 Charlotte NC 28260-2148 |
| Practice Telephone | 7043813510 |
| Practice Fax Number | 7045403668 |
| Mailing Telephone | 7043813510 |
| Mailing Fax Number | 7045403668 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | MR. THOMAS FORD LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7046310002 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS PHYSICIANS NETWORK INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPB228 | 05 | |
| NC | 5917377 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Urology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409992 | Carolinas Physicians Network Inc. | Internal Medicine | 757 Anderson Rd S, Rock Hill, SC 29730-6229 | 2018-08-29 |
| 1982972501 | Carolinas Physicians Network Inc. | Pediatrics | 1178 Old Caroleen Road, Forest City, NC 28043-3710 | 2011-12-09 |
| 1386996676 | Carolinas Physicians Network Inc. | Clinic/Center | 5641 Poplar Tent Rd, Suite 204, Concord, NC 28027-7533 | 2012-10-10 |
| 1831346303 | Carolinas Physicians Network Inc. | Family Medicine | 231 S Sharon Amity Rd, Charlotte, NC 28211-2803 | 2008-08-26 |
| 1215125919 | Carolinas Physicians Network Inc. | Family Medicine | 4105 Matthews Mint Hill Rd, Matthews, NC 28105-3633 | 2007-10-09 |
| 1447448345 | Carolinas Physicians Network Inc. | Clinic/Center | 1811 Matthews Township Pkwy, Matthews, NC 28105-4659 | 2007-10-05 |
| 1730279787 | Carolinas Physicians Network Inc. | Specialist | 309 S Sharon Amity Rd, Ste. 200, Charlotte, NC 28211-2978 | 2006-10-13 |
| 1902895162 | Carolinas Physicians Network Inc. | Clinic/Center | 270 Copperfield Blvd Ne, Suite 10, Concord, NC 28025-2441 | 2005-10-19 |
| Street Address |
704 GOLD HILL RD SUITE 203 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820105 | Ashrito Dayal | Internal Medicine | 704 Gold Hill Rd, Ste 203, Fort Mill, SC 29715-8906 | 2005-12-05 |
| 1114409836 | Meghan Bynum | Nurse Practitioner | 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715-8906 | 2018-08-29 |
| 1881194223 | Kimberly Parker Correa | Nurse Practitioner | 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715-8906 | 2018-02-12 |
| 1306355417 | Grace Hyndman | Nurse Practitioner | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2017-09-21 |
| 1891236618 | Ashlene Karasch | Nurse Practitioner | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2017-03-13 |
| 1982054730 | Surbhi Jain | Internal Medicine | 704 Gold Hill Rd, Suite 115, Fort Mill, SC 29715-8906 | 2016-06-13 |
| 1093176729 | Chinelo Ofoma | Nurse Practitioner | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2016-03-08 |
| 1972997203 | Jennifer Williams | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2015-03-25 |
| 1124439021 | Inna Slisz | Family Medicine | 704 Gold Hill Rd, Ste 107, Fort Mill, SC 29715-8906 | 2014-05-13 |
| 1467878306 | Kashae Ferguson | Nurse Practitioner | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8906 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720747 | Palmetto Health - University of South Carolina Medical Group | Urology | 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203-6870 | 2018-05-10 |
| 1538471826 | St Francis Physician Services Inc | Urology | 131 Commonwealth Dr, Ste. 340, Greenville, SC 29615-4883 | 2010-07-02 |
| 1184947566 | Carolinas Physicians Network Inc | Urology | 2450 India Hook Rd, Rock Hill, SC 29732-3270 | 2010-03-12 |
| 1134386394 | Regina Derstine Monroe | Urology | 200 Patewood Dr, Suite A115, Greenville, SC 29615-3593 | 2008-05-16 |
| 1952508947 | J Todd Purves | Urology | 96 Jonathan Lucas St, Csb Room 644, Charleston, SC 29425-6200 | 2007-07-02 |
| 1073638870 | Shumyle Alam | Urology | 171 Ashley Ave, Charleston, SC 29425 | 2007-03-20 |
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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.