Active NPI
Carolinas Physicians Network, Inc.
- Family Medicine Physician
- Cornelius, NC
National Provider Identifier
1154587103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC.
- Practice address
- 9606 Caldwell Commons Cir
Ste B
Cornelius, NC 28031-8111 - Phone
- (704) 892-3213
- Fax
- (704) 892-3966
- NPI assigned
- Jul 30, 2008
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel L. Wiens
- Title
- Sr. Vice President
- Phone
- (704) 355-0648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9606 Caldwell Commons Cir
Ste B
Cornelius, NC 28031-8111
Mailing address
PO Box 602095
Charlotte, NC 28260-2095
Phone (704) 892-3213
Other names 1
- Cornelius Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Cotswold Urgent Care
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Wesley Chapel, NC
- NPI 1811080534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223942400000",
"number": "1154587103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602095",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602095",
"telephone_number": "704-892-3213",
"fax_number": "704-892-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9606 CALDWELL COMMONS CIR",
"address_2": "STE B",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318111",
"telephone_number": "704-892-3213",
"fax_number": "704-892-3966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
"enumeration_date": "2008-07-30",
"last_updated": "2008-10-14",
"status": "A",
"authorized_official_last_name": "WIENS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "704-355-0648",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornelius Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cornelius, NC
- Carolina Eye Care OD PA
- Carolina Integrative Counseling
- Carolinas Center for Evaluation and Treatment
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network, Inc.
- Jordan Nicole Carroll, LPCA
- Casa Care Pediatric Therapy, LLC
- Raegan Cashion, NP
- Christopher Charles Castiglia-Marelli, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.