Organization Active NPI

Carolina Medical Clinic PLLC

  • Internal Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1124973508
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA MEDICAL CLINIC PLLC
Practice address
1601A Medical Dr
Laurinburg, NC 28352-5525
Phone
(910) 348-1197
Fax
(910) 348-1198
NPI assigned
Mar 2, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Dr. Muhammad Jawad IqbalNPI 1548233323
Title
MD
Phone
(910) 384-6382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

1601A Medical Dr
Laurinburg, NC 28352-5525

Mailing address

1601A Medical Dr
Laurinburg, NC 28352-5525
Phone (910) 348-1197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422001611 NC Part B Supplier - Clinic/Group Practice 8224505789 Receives reassigned benefits from 1 practitioner
Practice locations: Laurinburg, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2345979Carolina Medical Clinic PLLC1601A Medical Dr, Laurinburg, NC 28352Certificate of waiverJun 21, 2028

National Provider Directory

National Provider Directory

Locations

1601 Medical Dr
#A
Laurinburg, NC 28352
Phone (910) 348-1197

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1124973508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601A MEDICAL DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525525",
            "telephone_number": "910-348-1197",
            "fax_number": "910-348-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601A MEDICAL DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525525",
            "telephone_number": "910-348-1197",
            "fax_number": "910-348-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "JAWAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "910-384-6382",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.