Carolina Healthcare Associates Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINA HEALTHCARE ASSOCIATES INC

Doing business as

Pender Primary Care - Rocky Point

Practice address

7910 US Hwy 117 S
Unit 120
Rocky Point, NC 28457-9431

Phone

(910) 300-4500

NPI assigned

Nov 4, 2010

Organization subpart

Yes

Parent organization

CAROLINA HEALTHCARE ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Daniel Goodwin

Title

Vice-President

Phone

(910) 667-7597

Specialties & licenses 2

Addresses

Other names 1

• Pender Primary Care - Rocky Point Doing business as

Electronic endpoints 1

Part of

Carolina Healthcare Ass

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1063713204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 US HWY 117 S",
            "address_2": "UNIT 120",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284579431",
            "telephone_number": "910-300-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-259-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
        "enumeration_date": "2010-11-04",
        "last_updated": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "910-667-7597"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1960 S 16th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284016676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pender Primary Care - Rocky Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pender Primary Care - Rocky Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Black, S.L.P.
• Shanna Pollock Bradshaw, PA
• Carol Burkie
• Michael B Bush, DDS
• Sarah Abbitt Bush, MS, RD
• Hailey Victoria Carter, LCMHCA
• Coastal Horizons Center Inc
• Coastal Horizons Center Inc
• Coastal Horizons Center Inc
• Coastal Horizons Center Inc.

• Family Medicine Physician in Rocky Point, NC
• Providers in Rocky Point, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.