Individual provider Active NPI

Carlie M Black, PA-C

  • Physician Assistant
  • Morehead City, NC
National Provider Identifier
1174047591
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09056 Issued in NC
Practice address
623 N 35TH St
Morehead City, NC 28557-3126
Phone
(252) 222-5700
Fax
(252) 222-5705
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09056 NC Primary
Physician Assistant 363A00000X 5218 TN

Addresses

Primary practice location

623 N 35TH St
Morehead City, NC 28557-3126

Mailing address

623 N 35TH St
Morehead City, NC 28557-3126
Phone (252) 222-5700

Other practice location 1

4815 Oleander Dr Ste 100
Wilmington, NC 28403-5116
Phone (910) 332-3800

Other practice location 2

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

Other names 1

  • Ms. Carlie M Stratmeyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191001001705 NC Practitioner - Physician Assistant 0648537043 Reassigns benefits to 2 organizations
I20230112003063 TN Practitioner - Physician Assistant 0648537043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and EndocrinologyGroup PAC ID 1355334467, 5 clinicians

Practice addresses (Care Compare)

1304 Commerce Dr
New Bern, NC 28562-2212
Phone (252) 649-1944

623 N 35TH St
Morehead City, NC 28557-3126
Phone (252) 222-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5218TNMDRegistered Respiratory Therapist
0010-09056NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Aug 19, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 14, 2022 Accepting new patients
Emergeortho PA CurrentSince Aug 19, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 14, 2022 Accepting new patients
East Valley Diabetes & Endocrinology PLC Past Accepting new patients
Major Hospital Past Accepting new patients
Vein Specialists Past Accepting new patients

Locations

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

4815 Oleander Dr
Ste 100
Wilmington, NC 28403

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Interoperability endpoints

  • Direct secure messaging: carlie.black.1@20887.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1174047591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-222-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-222-5705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Oleander Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284035116",
            "country_code": "US",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "931-762-7232",
            "fax_number": "931-762-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CARLIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09056",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLIE",
            "last_name": "STRATMEYER",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.