Active NPI
Carolyn Joyner Gelot, FNP
- Family Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1124392394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005534
- Practice address
- 1709 S 16TH St Ste a
Wilmington, NC 28401-6491 - Phone
- (910) 452-8633
- Fax
- (910) 452-8569
- NPI assigned
- Mar 5, 2012
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5005534 | NC | Primary |
Addresses
Primary practice location
1709 S 16TH St Ste a
Wilmington, NC 28401-6491
Mailing address
PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525
Other practice location 1
143 Holden Beach Rd SW
Shallotte, NC 28470-1787
Phone (910) 499-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7006003 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Chowan Community Health Center Inc | Past | Accepting new patients | |
| Sovran Senior Living, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Woodland Primary Care
- Federally Qualified Health Center (FQHC)
- Woodland, NC
- NPI 1023675113
-
dba Waylin Life Care Center
- Assisted Living Facility
- Mount Olive, NC
- NPI 1508134685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124392394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15109",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284085109",
"telephone_number": "910-392-2525",
"fax_number": "910-392-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 S 16TH ST STE A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016491",
"telephone_number": "910-452-8633",
"fax_number": "910-452-8569"
}
],
"practiceLocations": [
{
"address_1": "143 Holden Beach Rd SW",
"address_purpose": "LOCATION",
"city": "Shallotte",
"state": "NC",
"postal_code": "284701787",
"country_code": "US",
"telephone_number": "910-499-0181",
"fax_number": "888-316-8183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELOT",
"first_name": "CAROLYN",
"middle_name": "JOYNER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7006003",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.