NPIMap

Organization Active NPI

Carolina Digestive Health Associates, PA

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1124052444
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Practice address
300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180
Phone
(704) 372-7974
Fax
(704) 372-8201
NPI assigned
Jul 11, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Julie Rothrock
Title
Credentialing Coordinator
Phone
(704) 372-7974

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 40474 NC
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180

Mailing address

PO Box 96314
Charlotte, NC 28296-0314
Phone (704) 372-7974

Other practice location 1

300 Billingsley Rd Ste 103
Charlotte, NC 28211-1084
Phone (704) 372-7974

Other names 1

  • Carolina Digestive Pathology Lab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031230000650 NC Part B Supplier - Clinic/Group Practice 1951209790 Receives reassigned benefits from 72 practitioners
Practice locations: Concord, NC; Monroe, NC; Matthews, NC; Denver, NC; Davidson, NC; Charlotte, NC; Belmont, NC
O20230525000730 NC Part B Supplier - Independent Clinical Laboratory 1951209790 Practice locations: Charlotte, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 27)

1105 Spruce St
Belmont, NC 28012

101 E W T Harris Blvd
#32
Charlotte, NC 28262

101 E Wt Harris Blvd
Ste 3111
Charlotte, NC 28262
Phone (704) 547-0834

101 E Wt Harris Blvd
Ste 3215
Charlotte, NC 28262
Phone 70437279742165

10620 Park Rd
#212
Charlotte, NC 28210
Phone (704) 543-7305

10620 Park Rd
Ste 212
Charlotte, NC 28210

11301 Carmel Commons Blvd
Ste 302
Charlotte, NC 28226

300 Billingsley Rd
#200A
Charlotte, NC 28211

300 Billingsley Rd
#200B
Charlotte, NC 28211

300 Billingsley Rd
Ste 103
Charlotte, NC 28211
Phone (704) 372-1306

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

300 Billingsley Rd
Ste 200A
Charlotte, NC 28211

300 Billingsley Rd
Ste 300
Charlotte, NC 28211

8210 University Exec Park Dr
Charlotte, NC 28262

8210 University Exec Park Dr
Ste 100
Charlotte, NC 28262
Phone (704) 547-8818

8220 University Exec Park Dr
Ste 100
Charlotte, NC 28262

1085 NE Gateway Ct NE
Ste 180
Concord, NC 28025
Phone (704) 707-2200

1085 NE Gateway Ct NE
Ste 280
Concord, NC 28025
Phone (704) 455-9700

246 Le Phillip Ct NE
Concord, NC 28025

16455 Statesville Rd
Ste 114
Huntersville, NC 28078
Phone (704) 237-9290

16633 Birkdale Commons Pkwy
#150
Huntersville, NC 28078
Phone (704) 405-0723

1450 Matthews Township Pkwy
Ste 460
Matthews, NC 28105
Phone (704) 814-1799

1321 E Sunset Dr
Monroe, NC 28112
Phone (704) 248-6974

1663 Campus Park Dr
Ste D
Monroe, NC 28112
Phone (704) 291-2488

131 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 660-4570

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1124052444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282960314",
            "telephone_number": "704-372-7974",
            "fax_number": "704-372-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111180",
            "telephone_number": "704-372-7974",
            "fax_number": "704-372-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Billingsley Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111084",
            "country_code": "US",
            "telephone_number": "704-372-7974",
            "fax_number": "704-372-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "ROTHROCK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "704-372-7974"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "40474",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Digestive Pathology Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.