Carolinas Physicians Network, Inc.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

CAROLINAS PHYSICIANS NETWORK, INC.

Doing business as

Carolinas Palliatve Care and Hospice Group

Practice address

1021 Morehead Medical Dr
Suite 5100-a
Charlotte, NC 28204-2839

Phone

(704) 512-2999

Fax

(704) 512-2428

NPI assigned

Oct 10, 2012

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

Mr. Thomas Ford Laymon

Title

Administrator

Phone

(704) 631-0002

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carolinas Palliatve Care and Hospice Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Cotswold Urgent Care

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry L. Burke, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Charlotte, NC
  • NPI 1457479099
  NPD
• Sean Finney, MD

  • Hospitalist Physician
  • Lincolnton, NC
  • NPI 1356320535

  Hospice and Palliative Medicine

  NPD
• Isha Dua Mishra, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1417261793
  NPD
• Sean Rudnick

  • Gastroenterology Physician
  • Charlotte, NC
  • NPI 1700010907
  NPD
• Ashley Vaughn

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1053648683
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1215289665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602148",
            "telephone_number": "704-512-2999",
            "fax_number": "704-512-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOREHEAD MEDICAL DR",
            "address_2": "SUITE 5100-A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042839",
            "telephone_number": "704-512-2999",
            "fax_number": "704-512-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2012-10-10",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-631-0002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921607",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB482",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Palliatve Care and Hospice Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc. (Carolinas HealthCare Urgent Care-Cotswold)
• Carolinas Physicians Network Inc. (Atrium Health Imaging - Kenilworth)
• Carolinas Physicians Network, Inc (McKay Urology)
• Carolinas Physicians Network, Inc (Carolinas HealthCare System Virtual Visit)
• Carolinas Physicians Network, Inc. (Cabarrus Family Medicine)
• Carolinas Physicians Network, Inc. (Carolina Neurological Clinic)
• Carolinas Physicians Network, Inc.
• Carolinas Physicians Network, Inc. (Greater Carolinas Womens Center)
• Carolinas Physicians Network, Inc. (The Sanger Clinic)
• Carolinas Physicians Network, Inc. (Pediatric Urology Associates)

• Hospice and Palliative Medicine (Internal Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.