Carolina Care - Urgent Care and Sports Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINA CARE - URGENT CARE AND SPORTS MEDICINE

Practice address

6832 Market St
Suite a
Wilmington, NC 28405-9723

Phone

(910) 859-2273

NPI assigned

Sep 25, 2013

Last updated

Oct 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marisa Testani

Title

Administrator

Phone

(919) 698-8010

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Jennifer Suzanne Blevins, NP

  • Nurse Practitioner
  • Leland, NC
  • NPI 1629424742
  Medicare reassignment NPD
• Valerie J Cousins, NP

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1932332376
  Medicare reassignment NPD
• Richard T. Ferro, MD

  • Sports Medicine (Family Medicine) Physician
  • Wilmington, NC
  • NPI 1962536516

  Multi-Specialty

  Medicare reassignment NPD
• Christine Gasbarro Williams, FNP-BC

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1972054054
  Medicare reassignment NPD
• Rhonda Osborne Thomas, NP

  • Acute Care Nurse Practitioner
  • Wilmington, NC
  • NPI 1942892567
  NPD
• Lesley Brooke Eaves, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1700390283
  NPD (past)
• Elizabeth Rose Hollander, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1245785708
  NPD (past)
• Tanya Marie Lancer, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1316528813
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1205262995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284800572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 MARKET ST",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284059723",
            "telephone_number": "910-859-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARE - URGENT CARE AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "TESTANI",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-698-8010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Carney
• Susan Fowler Carney, CNM
• Carolina Active Care Chiropractic
• Carolina Arthritis Associates, P.a.
• Carolina Bay Healthcare Center of Wilmington, LLC (Bradley Creek Health Center)
• Carolina Case Management, Inc
• Carolina Coast Speech Therapy, PLLC
• Carolina Dermatology and Skin Cancer Surgery PA
• Carolina Diagnostics Inc
• Carolina Diagnostics Inc

• Family Medicine Physician in Wilmington, NC
• Providers in Wilmington, 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 Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.