Carolina Park Medical Center PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

199625 Issued in NC

Legal business name

CAROLINA PARK MEDICAL CENTER PLLC

Practice address

984 Thompson St
Suite E2
Pittsboro, NC 27312

Phone

(919) 533-4804

Fax

(919) 704-8552

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ajay K Ajmani, MDNPI 1811998867

Title

President

Phone

(919) 774-5911

Specialties & licenses 7

Addresses

Other names 1

• Aria Healthcare and Medispa PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajay K Ajmani, MD

  • Internal Medicine Physician
  • Sanford, NC
  • NPI 1811998867
  Medicare reassignment Authorized official
• Bruce Todd Granger, MD

  • Internal Medicine Physician
  • Chapel Hill, NC
  • NPI 1164483046
  NPD (past)

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1154740561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273310400",
            "telephone_number": "919-533-4804",
            "fax_number": "919-774-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 THOMPSON ST",
            "address_2": "SUITE E2",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "919-533-4804",
            "fax_number": "919-704-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PARK MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "AJMANI",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-774-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "199625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "199625",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "199625",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NC",
            "license": "199625",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "199625",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "199625",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "199625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aria Healthcare and Medispa PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maria Evelina Capito, DDS
• Cara Oconnelledwards PHD PLLC
• Carolina Dialysis, LLC
• Carolina Home Stay LLC
• Carolina Outreach, LLC
• Rachel Carpenter, MS, CCC-SLP
• Briana Danielle Carter, LCSWA
• Stephanie Casnave
• Amy Jeanne Cathey, PT
• Center for Behavioral Healthcare, PA

• General Practice Physician in Pittsboro, NC
• Providers in Pittsboro, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.