CAROLINA EXPRESS CARE SELMA (NPI# 1972680080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972680080 |
| Entity Type | Organization |
| Organization Name | CAROLINA EXPRESS CARE SELMA |
| Practice Address |
108 S Raiford St Selma NC 27576-3155 |
| Mailing Address |
502 Mcknight Dr Knightdale NC 27545-7050 |
| Practice Telephone | 9192171411 |
| Practice Fax Number | 9192173084 |
| Mailing Telephone | 9192171411 |
| Mailing Fax Number | 9192173084 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DALE WHITE (CEO) |
| Authorized Official Telephone | 9192171411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101583 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015EF | 05 |
| Street Address |
108 S RAIFORD ST |
| City | SELMA |
| State | NC |
| Zip Code | 27576-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588057913 | Andre Williams | Technician, Other | 110 Aj Lane, Wendell, NC 27576 | 2015-03-10 |
| 1184024010 | Jeffrey Ray Watson | In Home Supportive Care | 200 South Massey Street, Selma, NC 27576 | 2014-08-28 |
| 1407109390 | Community and Senior Services of Johnston Cou | Non-emergency Medical Transport (VAN) | 1050 West Noble Street, Selma, NC 27576 | 2012-10-17 |
| 1992951321 | A Step Above Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 512 Webb St, Selma, NC 27576 | 2008-08-18 |
| 1972707222 | Preferred Home Care, Inc. | Home Health | 1100- B S. Pollock Street, Selma, NC 27576 | 2007-06-12 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1578663472 | Jill Liberty Sonner | Dentist | 1111 S Pollock St, Selma, NC 27576 | 2006-09-22 |
| 1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
| 1316501232 | Right At Home Home Healthcare | Home Health | 101 N Green St, Selma, NC 27576-2111 | 2019-04-25 |
| 1053682815 | Michael Na Daniels | Counselor | 105 Winter Ct, Selma, NC 27576-2189 | 2012-01-25 |
| Find all providers in zip 27576 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732641 | Benjamin Jay Sweet | Physician Assistant | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2018-06-01 |
| 1154518363 | Simerjit Kaur Riar | Physician Assistant | 2511 Logan St, Selma, CA 93662-3012 | 2007-10-02 |
| 1639289911 | Julie M. Rathbun | Physician Assistant | 5016 Fm 1518, Selma, TX 78154 | 2006-08-30 |
| 1174554414 | Juan Antonio Alvarez | Physician Assistant | 3275 Mccall Ave, Suite 102, Selma, CA 93662-2505 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 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.