Carolinas Medical Center-Northeast

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAROLINAS MEDICAL CENTER-NORTHEAST

Practice address

340 Jake Alexander Blvd W
Salisbury, NC 28147-1364

Phone

(704) 403-6260

Fax

(704) 403-6261

NPI assigned

Apr 24, 2012

Organization subpart

Yes

Parent organization

CAROLINAS MEDICAL CENTER-NORTHEASTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frieda Miller Lowder

Title

Sr Vice President

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SouthPoint Internal Medicine Doing business as

Part of

CMC Northeast

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carolinas Medical Center-Northeast

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1740241801
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Lee Fanning Jr., M.D.

  • Infectious Disease Physician
  • Concord, NC
  • NPI 1639146780
  NPD (past)
• Robert Moser, MD

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1023080934
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1003174491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471364",
            "telephone_number": "704-403-6260",
            "fax_number": "704-403-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471364",
            "telephone_number": "704-403-6260",
            "fax_number": "704-403-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920431",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP",
            "identifier": "232009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthPoint Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Pain and Weight Loss, PA
• Carolina Spine & Hand Center PA
• Carolina Women'S Health Associates, PA
• Carolinas Depression Clinic PLLC
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast
• Carolinas Medical Supply LLC
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc
• Carolinas Physicians Network, Inc.

• Internal Medicine Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.