NPIMap

Organization Active NPI

Carohealth Associates, PLLC

Doing business as Hickory Grove Pediatrics

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1215997473
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
87997 Issued in NC
Legal business name
CAROHEALTH ASSOCIATES, PLLC
Doing business as
Hickory Grove Pediatrics
Practice address
2225 East W.T. Harris Blvd
Ste B
Charlotte, NC 28213-5138
Phone
(704) 509-0933
Fax
(704) 509-0934
NPI assigned
Mar 23, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Anita Mehta, MDNPI 1740249598
Title
Owner/Chief Medical Officer
Phone
(704) 509-0933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 87997 NC Primary

Addresses

Primary practice location

2225 East W.T. Harris Blvd
Ste B
Charlotte, NC 28213-5138

Mailing address

2225 East W.T. Harris Blvd
Ste B
Charlotte, NC 28213-5138
Phone (704) 509-0933

Other identifiers 1

IdentifierTypeStateIssuer
200002210540OtherNCNC PRIVILEGE LICENSE

Other names 1

  • HICKORY GROVE PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

2225 E Wt Harris Blvd
Unit B
Charlotte, NC 28213
Phone (704) 509-0933

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1215997473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 EAST W.T. HARRIS BLVD",
            "address_2": "STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135138",
            "telephone_number": "704-509-0933",
            "fax_number": "704-509-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 EAST W.T. HARRIS BLVD",
            "address_2": "STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135138",
            "telephone_number": "704-509-0933",
            "fax_number": "704-509-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROHEALTH ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER/CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "704-509-0933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "87997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PRIVILEGE LICENSE",
            "identifier": "200002210540",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICKORY GROVE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.