Individual provider Active NPI

Cornelius Tucker Carwile III, D. C.

  • Chiropractor
  • Fort Liberty, NC
National Provider Identifier
1144288358
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0401001982 Issued in VA
Practice address
2817 Rock Merritt Ave
Fort Liberty, NC 28310-2539
Phone
(910) 908-7343
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0401001982 VA Primary

Addresses

Primary practice location

2817 Rock Merritt Ave
Fort Liberty, NC 28310-2539

Mailing address

130 Thunder Rd
Pinebluff, NC 28373-7006
Phone (757) 285-2215

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

State licenses

LicenseStateTypeSpecialty
0401001982VAMDChiropractor
4519NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care of Tidewater PC Chiropractor Past Accepting new patients
Poquoson Chiropractic Clinic, P.C. Chiropractor PastSince Apr 17, 1997 Accepting new patients
757 Medical Group LC PastSince Dec 1, 2020 Accepting new patients
Spine Care of Tidewater, P.C. Chiropractor Past Accepting new patients
Hesed Bodywork LLC PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1144288358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THUNDER RD",
            "city": "PINEBLUFF",
            "state": "NC",
            "postal_code": "283737006",
            "telephone_number": "757-285-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283102539",
            "telephone_number": "910-908-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARWILE",
        "first_name": "CORNELIUS",
        "middle_name": "TUCKER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0401001982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.