Individual provider Active NPI

Caitlin Elizabeth Poore, PAC

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1215749742
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1200 N Elm St
Greensboro, NC 27401-1004
Phone
(336) 832-8040
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1200 N Elm St
Greensboro, NC 27401-1004

Mailing address

115 Breezeway LN
Greensboro, NC 27405-4972
Phone (440) 263-0793

Other practice location 1

2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone (336) 867-4310

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004667 NC Practitioner - Physician Assistant 8224545652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131

2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone (336) 867-4310

5156 US 29 Business
Reidsville, NC 27320-7998
Phone (910) 828-1131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 24, 2025 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: cpoore1741431@direct.novanthealth.org

Organizations & group practices 3

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1215749742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BREEZEWAY LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054972",
            "telephone_number": "440-263-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 Lawndale Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274084802",
            "country_code": "US",
            "telephone_number": "336-867-4310",
            "fax_number": "336-867-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POORE",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.