NPIMap

Organization Active NPI

Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Asheville, NC
National Provider Identifier
1235014796
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAROLINA MEDICORP ENTERPRISES, LLC
Practice address
674 Merrimon Ave Ste 101
Asheville, NC 28804-3586
Phone
(828) 348-7418
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Leea Jeanine Walton
Title
RCS Manager
Phone
(704) 316-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

674 Merrimon Ave Ste 101
Asheville, NC 28804-3586

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

201 Nc Highway 9
Black Mountain, NC 28711-3426
Phone (828) 419-1035

Other practice location 2

349 New Leicester Hwy
Asheville, NC 28806-2046
Phone (828) 463-3238

Other names 1

  • Novant Health GoHealth Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040110000190 NC Part B Supplier - Clinic/Group Practice 0648174904 Receives reassigned benefits from 249 practitioners
32 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cornelius, NC; Greensboro, NC; High Point, NC; Huntersville, NC; Indian Trail, NC; Kernersville, NC; Lexington, NC; Matthews, NC…

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2128739Novant Health Gohealth Urgent Care674 Merrimon Avenue, Asheville, NC 28804Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Prmecare Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

674 Merrimon Ave
Ste 105B
Asheville, NC 28804
Phone (828) 348-7418

4815 Berewick Town Center Dr
Ste D
Charlotte, NC 28278
Phone (980) 337-4652

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

116 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

4012 Battleground Ave
#1020
Greensboro, NC 27410
Phone (336) 564-4341

2620 N Main St
Ste 109
High Point, NC 27265
Phone (336) 481-1830

622 Indian Trail Rd S
Indian Trail, NC 28079
Phone (704) 384-1575

9600 E Independence Blvd
Matthews, NC 28105
Phone (704) 316-4846

6816 Matthews Mint Hill Rd
Ste 101
Mint Hill, NC 28227
Phone (704) 316-3601

2452 Fairlawn Ct
Winston Salem, NC 27106
Phone (336) 281-5965

Practitioners & affiliated clinicians

Practitioners 244

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

View all 244

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1235014796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MERRIMON AVE STE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043586",
            "telephone_number": "828-348-7418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Nc Highway 9",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "287113426",
            "country_code": "US",
            "telephone_number": "828-419-1035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 New Leicester Hwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062046",
            "country_code": "US",
            "telephone_number": "828-463-3238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA MEDICORP ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health GoHealth Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health GoHealth Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.