Carolinas Physicians Network, Inc
Organization Active NPI Internal Medicine Physician · Lincolnton, NC
NPI 1184019168 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1184019168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC
- Practice address
- 447 McAlister Rd
Suite 2200
Lincolnton, NC 28092-4114 - Phone
- (980) 212-7080
- NPI assigned
- Apr 6, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK, INC
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- SVP
- Phone
- (704) 631-0002
Corporate family (same tax ID) 24
Practitioners 8
-
Sara Rowell Clay, PA
-
Courtney Elliott, PA
-
Ayanna Saran Galloway, PA-C
-
Meera Gangam, MD
-
Margaret Katharine Lucas, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Cotswold Urgent Care
- Part of
- Cotswold Urgent Care
Locations
447 McAlister Rd
Ste 2200
Lincolnton, NC 28092
Phone (980) 212-7080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
447 McAlister Rd
Suite 2200
Lincolnton, NC 28092-4114
Mailing address
PO Box 601884
Charlotte, NC 28260-1884
Phone (980) 212-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184019168 | Medicaid | NC |
Other names
- Internal Medicine Associates
Other providers in Lincolnton, NC
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network, Inc.
- Joshua Trent Carpenter
- Laura L Carpenter
- Scott Carpenter
- Jaylyn Nicole Carr
All providers in Lincolnton, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.