Central Carolina - Cim LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL CAROLINA - CIM LLC

Practice address

4546 Hwy 87 South
Sanford, NC 27332

Phone

(919) 499-5151

Fax

(919) 499-5147

NPI assigned

Nov 12, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other names 1

• Carolina Internal Medicine Doing business as

Practitioners 1

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

• Martha J Davis, PA-C

  • Physician Assistant
  • Sanford, NC
  • NPI 1760486633
  NPD (past)

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1235569286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742768",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742107",
            "telephone_number": "919-499-5151",
            "fax_number": "919-499-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 HWY 87 SOUTH",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27332",
            "telephone_number": "919-499-5151",
            "fax_number": "919-499-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA - CIM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daphne Joan Cates, M.D.
• Melinda Ann Cavicchia, MD, MPH
• CBWC Concierge Services PLLC
• Center for Behavioral Healthcare, PA
• Center for Independent Living
• Central Carolina ENT Assoc PA
• Central Carolina Family Practice,PC
• Central Carolina Hearing Aid Associates
• Central Carolina Hospital
• Central Carolina Hospital Pro Fee Billing, LLC

• All providers in Sanford, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.