Organization Active NPI

Caravaglia Clinic

  • Primary Care Clinic/Center
  • High Point, NC
National Provider Identifier
1053619627
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2011-01820
Legal business name
CARAVAGLIA CLINIC
Practice address
1840 Eastchester Drive
Unit 106
High Point, NC 27265
Phone
(918) 816-1901
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dr. Gina Marie Caravaglia, D.O.
Title
Owner
Phone
(918) 816-1901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4574 OK
Primary Care Clinic/Center 261QP2300X 2011-01820 Primary

Addresses

Primary practice location

1840 Eastchester Drive
Unit 106
High Point, NC 27265

Mailing address

1230 Turtle Rock Way
Apt 1B
High Point, NC 27265
Phone (918) 816-1901

Other identifiers 1

IdentifierTypeStateIssuer
200122600AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1840 Eastchester Dr
Ste 106
High Point, NC 27265
Phone (336) 278-1918

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1053619627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 TURTLE ROCK WAY",
            "address_2": "APT 1B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "918-816-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 EASTCHESTER DRIVE",
            "address_2": "UNIT 106",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "918-816-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARAVAGLIA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "CARAVAGLIA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-816-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "4574",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": "2011-01820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200122600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.