Carolinas Physicians Network, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CAROLINAS PHYSICIANS NETWORK, INC.

Doing business as

Cabarrus Family Medicine

Practice address

5435 Prosperity Church Road
Ste 2200
Charlotte, NC 28269-2344

Phone

(704) 863-9830

Fax

(704) 863-9831

NPI assigned

Jan 26, 2010

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Mr. Thomas Ford Laymon

Title

Senior Vice President

Phone

(704) 446-8250

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Cabarrus Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Cotswold Urgent Care

Practitioners 3

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

• Alaina Marie Olenik, PHARMD, BCACP, CPP

  • Pharmacist
  • Monroe, NC
  • NPI 1558553917
  NPD (past)
• Amy R Skipper, FNP

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1851647572
  NPD (past)
• James Henry Young Jr., PH.D.

  • Counseling Psychologist
  • Charlotte, NC
  • NPI 1144219650
  NPD (past)

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1053642363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602120",
            "telephone_number": "704-512-4808",
            "fax_number": "704-512-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 PROSPERITY CHURCH ROAD",
            "address_2": "STE 2200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692344",
            "telephone_number": "704-863-9830",
            "fax_number": "704-863-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
        "enumeration_date": "2010-01-26",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-446-8250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008138",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053642363",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabarrus Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc. (Charlotte Cardiology Associates)
• Carolinas Physicians Network Inc. (Carolinas HealthCare Urgent Care-Cotswold)
• Carolinas Physicians Network Inc. (Atrium Health Imaging - Kenilworth)
• Carolinas Physicians Network, Inc (McKay Urology)
• Carolinas Physicians Network, Inc (Carolinas HealthCare System Virtual Visit)
• Carolinas Physicians Network, Inc. (Carolinas Palliatve Care and Hospice Group)
• Carolinas Physicians Network, Inc. (Carolina Neurological Clinic)
• Carolinas Physicians Network, Inc.
• Carolinas Physicians Network, Inc. (Greater Carolinas Womens Center)
• Carolinas Physicians Network, Inc. (The Sanger Clinic)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.