Active NPI
Careconnectmd North Carolina P.C.
- General Practice Physician
- Durham, NC
National Provider Identifier
1104507441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CARECONNECTMD NORTH CAROLINA P.C.
- Practice address
- 555 S Mangum St Ste 100
Durham, NC 27701-4689 - Phone
- (888) 789-9585
- NPI assigned
- Jul 28, 2023
- 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
- Zahrah Shariff, MD
- Title
- Owner
- Phone
- (888) 789-9585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
555 S Mangum St Ste 100
Durham, NC 27701-4689
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230809002596 | NC | Part B Supplier - Clinic/Group Practice | 3971965898 |
Receives reassigned benefits from 79 practitioners Practice locations: Durham, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 80
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690502400000",
"number": "1104507441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S MANGUM ST STE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277014689",
"telephone_number": "888-789-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECTMD NORTH CAROLINA P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A",
"authorized_official_last_name": "SHARIFF",
"authorized_official_first_name": "ZAHRAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-789-9585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.