Active NPI
Carters Circle of Care, Inc.
- Family Medicine Physician
- Greensboro, NC
National Provider Identifier
1245462993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CARTERS CIRCLE OF CARE, INC.
- Practice address
- 2031 Martin Luther King Jr Dr
Suite E
Greensboro, NC 27406-3342 - Phone
- (336) 254-8843
- Fax
- (336) 271-5888
- NPI assigned
- Aug 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erica Dawn Carter
- Title
- Qualified Professional
- Phone
- (336) 271-5888
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adult Medicine Physician | 207QA0505X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2031 Martin Luther King Jr Dr
Suite E
Greensboro, NC 27406-3342
Mailing address
2031 Martin Luther King Jr Dr
Suite E
Greensboro, NC 27406-3342
Phone (336) 271-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302851 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1245462993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 MARTIN LUTHER KING JR DR",
"address_2": "SUITE E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063342",
"telephone_number": "336-271-5888",
"fax_number": "336-271-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 MARTIN LUTHER KING JR DR",
"address_2": "SUITE E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063342",
"telephone_number": "336-254-8843",
"fax_number": "336-271-5888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTERS CIRCLE OF CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-13",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "QUALIFIED PROFESSIONAL",
"authorized_official_telephone_number": "336-271-5888",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302851",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.