Carolina Heart Physicians PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CAROLINA HEART PHYSICIANS PLLC

Practice address

909 S McPherson Church Rd
Fayetteville, NC 28303-5350

Phone

(910) 483-0018

Fax

(910) 483-0991

NPI assigned

Dec 6, 2005

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Kaetta Payne

Title

Office Manager

Phone

(910) 483-0018

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Heart Physicians Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• Agodichi U Nwosu, MD

  • Cardiovascular Disease Physician
  • Fayetteville, NC
  • NPI 1902942931
  Medicare reassignment NPD

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1154305704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035350",
            "telephone_number": "910-483-0018",
            "fax_number": "910-483-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035350",
            "telephone_number": "910-483-0018",
            "fax_number": "910-483-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEART PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "KAETTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-483-0018"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128AA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Heart Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carolina Family Practice Centre, PA
• Carolina Family Practice Centre, PA
• Carolina Footcare, PLLC
• Carolina Health Associates PC (Carolina Health and wellness)
• Carolina Health Care Center of Cumberland County, LP (Carolina Rehab Center of Cumberland)
• Carolina Homehealth Agency LLC (Carolina Homehealth Agency)
• Carolina Hope Behavioral Health LLC
• Carolina Imaging LLC of Fayetteville
• Carolina Imaging LLC of Fayetteville
• Carolina Imaging LLC of Fayetteville (Carolina Imaging-Ramsey)

• Cardiovascular Disease Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.