Carrboro Pediatrics and Internal Medicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

83272 Issued in NC

Legal business name

CARRBORO PEDIATRICS AND INTERNAL MEDICINE, PA

Practice address

127 Fidelity St
Carrboro, NC 27510-2002

Phone

(919) 933-8381

Fax

(919) 933-6623

NPI assigned

Mar 27, 2006

Last updated

Apr 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cory Lyn Annis, MDNPI 1215912050

Title

President

Phone

(919) 933-8381

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Deanna Kay Branscom, M.D.

  • Internal Medicine Physician
  • Carrboro, NC
  • NPI 1770587354
  Medicare reassignment Care Compare group NPD
• Kellie Walter Furin, FNP

  • Family Nurse Practitioner
  • Carrboro, NC
  • NPI 1861574303
  Medicare reassignment Care Compare group NPD
• Kerith D Lawrence, M.D.

  • Internal Medicine Physician
  • Carrboro, NC
  • NPI 1538144274
  Medicare reassignment Care Compare group NPD
• Kara Elizabeth Macintyre, MD

  • Family Medicine Physician
  • Carrboro, NC
  • NPI 1467191247
  Medicare reassignment Care Compare group NPD
• Emily Lauren Trambert Kylstra, MD, MPH

  • Family Medicine Physician
  • Durham, NC
  • NPI 1588246144
  Medicare reassignment Care Compare group NPD
• Cory Lyn Annis, M.D.

  • Internal Medicine Physician
  • Carrboro, NC
  • NPI 1215912050
  Authorized official Same address or phone
• Iris W Jackola

  • Family Nurse Practitioner
  • Carrboro, NC
  • NPI 1467821801
  NPD

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1043270671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 FIDELITY ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102002",
            "telephone_number": "919-933-8381",
            "fax_number": "919-933-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 FIDELITY ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102002",
            "telephone_number": "919-933-8381",
            "fax_number": "919-933-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRBORO PEDIATRICS AND INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "ANNIS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-933-8381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "83272",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "83272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690185T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0185T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrboro Family Pharmacy Inc.
• Carrboro Family Pharmacy, Inc
• Carrboro Family Vision LLC
• Carrboro Midwifery LLC (Carrboro Midwifery)
• Carrboro Pediatric Physical Therapy,LLC
• Senga Anne Carroll, LCSW
• Su P Cartmell, CRNP
• Kelly Lou Brooks Causey, M.S.W., L.C.S.W.-A.
• Center for Cognition and Therapy
• Centre for New Hope II LLC

• Internal Medicine Physician in Carrboro, NC
• Providers in Carrboro, 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 Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.