Active NPI
Caravaglia Clinic
- Primary Care Clinic/Center
- High Point, NC
National Provider Identifier
1053619627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200122600A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.