Carolinas Physicians Network Inc
Organization Active NPI Family Medicine Physician · Davidson, NC
NPI 1043601768 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1043601768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 705 Griffith St
Ste 100B
Davidson, NC 28036-9304 - Phone
- (704) 801-7970
- NPI assigned
- Feb 17, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Thomas Laymon
- Title
- Senior Vice President
- Phone
- (704) 446-8250
Member of 19
Practitioners 11
-
Kirk A. James, MD
-
Philip Jones, MD
-
Mary T. Traynor, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Locations
705 Griffith St
Ste 100B
Davidson, NC 28036
Phone (704) 801-7970
808 N Washington St
Shelby, NC 28150
Phone (704) 480-0008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
705 Griffith St
Ste 100B
Davidson, NC 28036-9304
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- Carolinas HealthCare Urgent Care - Davidson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Other providers in Davidson, NC
- Marla Yamileth Carcamo
- Carolina Medicorp Enterprises, Inc
- Carolinas Medical Center
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Physicians Network Inc
- Carolinas Physicians Network, Inc.
- Suzanne Noelle Carr
- Miranda Casey Huston
- Jay Alexander Caskey
All providers in Davidson, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.