Active NPI
Carolinas Physicians Network Inc
Doing business as The Sanger Clinic
- Vascular Surgery Physician
- Mint Hill, NC
National Provider Identifier
1235416009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Doing business as
- The Sanger Clinic
- Practice address
- 11304 Hawthorne Dr
Ste 115
Mint Hill, NC 28227-9425 - Phone
- (704) 863-1950
- NPI assigned
- Nov 8, 2011
- Last updated
- May 6, 2021
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Laymon
- Title
- Senior Vice President
- Phone
- (704) 446-8250
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Vascular Surgery Physician | 2086S0129X | NU | Primary |
Addresses
Primary practice location
11304 Hawthorne Dr
Ste 115
Mint Hill, NC 28227-9425
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names 1
- The Sanger Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000455 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 1,949 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Carolinas Physicians Network Inc
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1336325471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1235416009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305",
"telephone_number": "704-631-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11304 HAWTHORNE DR",
"address_2": "STE 115",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282279425",
"telephone_number": "704-863-1950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2011-11-08",
"last_updated": "2021-05-06",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "704-446-8250"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "11304 Hawthorne Dr",
"address_2": "Ste 115",
"city": "Mint Hill",
"state": "NC",
"country_code": "US",
"postal_code": "282279425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "The Sanger Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Sanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mint Hill, NC
- Elizabeth Carey, NBC-HWC
- Carolina Clinical Laboratories LLC
- Carolina Family Services
- Carolina Medicorp Enterprises Inc (Novant Health Express Care)
- Carolinas Physicians Network Inc (Atrium Health Primary Care Mint Hill Commons Family Medicine)
- Carolinas Physicians Network Inc (Greater Carolinas Womens Center)
- Carolinas Physicians Network, Inc. (Union Endocrinology Associates)
- Catherine B. Laws, D.D.S., P.L.L.C. (Town Dental Group)
- Conor Charles Chambers
- Charlotte Medical Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.