Richard S. Carley, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

9900789 Issued in NC

Practice address

240 Hospital Dr NE
Bolivia, NC 28422-8346

Phone

(843) 497-5929

Fax

(843) 497-6601

NPI assigned

Jul 7, 2005

Last updated

May 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Wayne State University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Carolina Quickcare Family Practice, PLLC

  dba Carolina QuickCare Family Practice

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899
  Medicare reassignment Care Compare group NPD
• J. Arthur Dosher Memorial Hospital

  • Critical Access Hospital
  • Southport, NC
  • NPI 1538260229
  NPD
• First Flight Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elizabethtown, NC
  • NPI 1194053629
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brunswick Community Hospital, LLC

  dba Novant Health Brunswick Medical Center

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494028800000",
    "number": "1194723882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL DR NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228346",
            "telephone_number": "843-497-5929",
            "fax_number": "843-497-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9900789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131EW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brunswick Operator LLC (Brunswick Nursing and Rehabilitation Center)
• Brunswick Physician Partners, PLLC
• Daniel Jon Burk, PA-C
• Jennifer Cannizzaro
• Carenet Inc (Baptist Hospital Carenet Counseling Centers)
• Carolina Healthcare Associates Inc (Cape Fear Heart Associates)
• Jared Blaine Carroll, DPT
• Emily Carson
• Richard Claude Casserino, FNP-C
• April Dyan Chambers, C.R.N.A.

• Emergency Medicine Physician in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.