Organization Active NPI

Carolina Neurology East

  • Specialist
  • Mocksville, NC
National Provider Identifier
1013248905
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200001134 Issued in NC
Legal business name
CAROLINA NEUROLOGY EAST
Practice address
223 Hospital St
Mocksville, NC 27028-2038
Phone
(704) 924-7575
Fax
(704) 924-7877
NPI assigned
Jan 18, 2010
Last updated
Jan 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Trishwant Garcha, MDNPI 1184731838
Title
Owner
Phone
(704) 924-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 200001134 NC Primary

Addresses

Primary practice location

223 Hospital St
Mocksville, NC 27028-2038

Mailing address

750 Hartness Rd Ste E
Statesville, NC 28677-3400
Phone (704) 924-7575

Other identifiers 1

IdentifierTypeStateIssuer
89127CKMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Neurology Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1013248905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HARTNESS RD STE E",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773400",
            "telephone_number": "704-924-7575",
            "fax_number": "704-924-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HOSPITAL ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282038",
            "telephone_number": "704-924-7575",
            "fax_number": "704-924-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEUROLOGY EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "GARCHA",
        "authorized_official_first_name": "TRISHWANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-924-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "200001134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127CK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.