Organization Active NPI

Carolina Health Associates PC

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1154112274
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CAROLINA HEALTH ASSOCIATES PC
Practice address
1817 Gentle Bend Way
Fayetteville, NC 28314-6283
Phone
(910) 224-5636
Fax
(910) 224-5636
NPI assigned
May 16, 2025
Organization subpart
Yes
Parent organization
NC TELEHEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Authorized official

Name
Dr. Michelle Mack, DNP FNP-CNPI 1699191163
Title
Ceo
Phone
(910) 224-5636

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0807X
Nursing Facility/Intermediate Care Facility 313M00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1817 Gentle Bend Way
Fayetteville, NC 28314-6283

Mailing address

1817 Gentle Bend Way
Fayetteville, NC 28314-6283
Phone (910) 224-5636

Other practice location 1

2501 Bragg Blvd Ste A
Fayetteville, NC 28303-4141
Phone (910) 224-5636

Other names 2

  • Carolina Health and wellness Doing business as
  • NC Telehealth PLLC Former legal business name

National Provider Directory

National Provider Directory
Part of
NC Telehealth

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783123200000",
    "number": "1154112274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 GENTLE BEND WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146283",
            "telephone_number": "910-224-5636",
            "fax_number": "910-224-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 GENTLE BEND WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146283",
            "telephone_number": "910-224-5636",
            "fax_number": "910-224-5636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Bragg Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034141",
            "country_code": "US",
            "telephone_number": "910-224-5636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA HEALTH ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NC TELEHEALTH PLLC",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-224-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP FNP-C"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Health and wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NC Telehealth PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.