Carolina Colorectal Surgery, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200701309 Issued in NC

Legal business name

CAROLINA COLORECTAL SURGERY, PC

Practice address

2501 Atrium Dr
Suite 305
Raleigh, NC 27607-6452

Phone

(919) 235-0216

Fax

(919) 235-0217

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sankar Naidu Adusumilli, MDNPI 1639161227

Title

Chairman

Phone

(919) 235-0216

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

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

• Sankar Naidu Adusumilli, MD

  • Surgery Physician
  • Raleigh, NC
  • NPI 1639161227
  Medicare reassignment Care Compare group NPD Authorized official
• Cailey Anne Solomon, PA-C

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1609464429
  Medicare reassignment Care Compare group
• Monica Shevock Smith, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1669132692
  NPD
• Bhavani Lagadapati, MD

  • Internal Medicine Physician
  • Morrisville, NC
  • NPI 1760484299
  NPD (past)
• Alexandra Faye Matsis, NP

  • Surgery Physician
  • Sanford, NC
  • NPI 1285475921
  NPD (past)
• Khyati Patel

  • Family Nurse Practitioner
  • Morrisville, NC
  • NPI 1932519071
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1023296647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 ATRIUM DR",
            "address_2": "SUITE 305",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076452",
            "telephone_number": "919-235-0216",
            "fax_number": "919-235-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ATRIUM DR",
            "address_2": "SUITE 305",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076452",
            "telephone_number": "919-235-0216",
            "fax_number": "919-235-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COLORECTAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "ADUSUMILLI",
        "authorized_official_first_name": "SANKAR",
        "authorized_official_middle_name": "NAIDU",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "919-235-0216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "200701309",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NC",
            "license": "200701309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Cataract & Laser Center P a
• Carolina Center for Integrative Medicine
• Carolina Center for Restorative Medicine
• Carolina Chirocare and Rehab Inc.
• Carolina Choice, LLC
• Carolina Community Mental Health Centers, Inc
• Carolina Comprehensive Service, LLC
• Carolina Comprehensive Services, LLC
• Carolina Comprehensive Services, LLC
• Carolina Conceptions, PA

• Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.