Active NPI
Carolinas Physicians Network Inc
Doing business as Carolinas Palliative Care and Hospice Group
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Monroe, NC
National Provider Identifier
1053748897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Doing business as
- Carolinas Palliative Care and Hospice Group
- Practice address
- 1550 Faulk Street
Monroe, NC 28112-5088 - Phone
- (980) 442-0430
- NPI assigned
- Oct 10, 2013
- Last updated
- Apr 26, 2018
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom Laymon
- Title
- SVP
- Phone
- (704) 446-8250
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Pediatrics Physician | 208000000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
1550 Faulk Street
Monroe, NC 28112-5088
Mailing address
PO Box 602698
Charlotte, NC 28260-2698
Phone (980) 442-0430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053748897 | Medicaid | NC | |
| NPB618 | Medicaid | SC |
Other names 1
- Carolinas Palliative Care and Hospice Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000455 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 1,949 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Diabetes Endocrine Osteopo
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1124291380
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1104142355
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1194102566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524700800000",
"number": "1053748897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602698",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602698",
"telephone_number": "980-442-0430",
"fax_number": "704-302-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 FAULK STREET",
"city": "MONROE",
"state": "NC",
"postal_code": "281125088",
"telephone_number": "980-442-0430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2013-10-10",
"last_updated": "2018-04-26",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "704-446-8250"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053748897",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPB618",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolinas Palliative Care and Hospice Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carolinas Palliative Care and Hospice Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monroe, NC
- Carolinas Medical Center at Home, LLC (Atrium Health At Home Union)
- Carolinas Medical Center at Home, LLC (Atrium Health At Home HME Union)
- Carolinas Medical Center-Northeast (NorthEast Neurology-Union)
- Carolinas Palliative Care and Hospice Network, Inc. (Atrium Health Hospice & Palliative Care Union)
- Carolinas Physicians Network Inc (Union Breast Surgery Specialists)
- Carolinas Physicians Network Inc (Union Medical Associates)
- Carolinas Physicians Network Inc (Carolinas Cancer Associates)
- Carolinas Physicians Network Inc (Atrium Health Women's Care Union OB/GYN)
- Carolinas Physicians Network Inc (Atrium Health General Surgery)
- Carolinas Physicians Network Inc (Carolinas On Site Care Employer Based Clinics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.