Carolinas Physicians Network Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Wesley Chapel Family Medicine

Practice address

5955 Weddington Rd
Wesley Chapel, NC 28104-6296

Phone

(704) 667-4280

Fax

(704) 667-4281

NPI assigned

Aug 17, 2012

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

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

Authorized official

Name

Daniel L Wiens

Title

Administration

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wesley Chapel Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physicians Network Inc

Practitioners 3

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.

• Randolph J Cordle, MD

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1508896903
  NPD
• Cuong Tan Doan, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1710052337
  NPD
• Melodie Cornique Harrison, MD

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1518279694
  NPD

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1164770467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601888",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601888",
            "telephone_number": "704-667-4280",
            "fax_number": "704-667-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 WEDDINGTON RD",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "281046296",
            "telephone_number": "704-667-4280",
            "fax_number": "704-667-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2012-08-17",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917907",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QPB648",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Chapel Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Balasanyan & Associates PLLC (LandMark Dentistry of Wesley Chapel)
• Anait Balasanyan
• Robert Dale Bowman Jr., DMD
• Carolinas Physicians Network Inc (Atrium Health Primary Care Wesley Chapel Family Medicine)
• Sadhana Archana Char, M.D.
• Leigha Dy-Ann Evans
• Sofia Gkoulgkountina, DO
• Harris Teeter, LLC
• K. Jasinski, D.M.D., P.C. (Dental Care at Village Commons)

• Family Medicine Physician in Wesley Chapel, NC
• Providers in Wesley Chapel, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.