Carolina Healthcare Associates Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAROLINA HEALTHCARE ASSOCIATES INC

Practice address

3009 Medical Plaza LN
Southport, NC 28461-5194

Phone

(910) 362-8765

NPI assigned

Sep 8, 2009

Organization subpart

Yes

Parent organization

CAROLINA HEALTHCARE ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Daniel Goodwin

Title

Vice-President

Phone

(910) 667-7597

Specialties & licenses 1

Addresses

Other names 1

• Atlantic Urology Doing business as

Electronic endpoints 1

Part of

Carolina Healthcare Assoc

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1265765325",
    "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": "3009 MEDICAL PLAZA LN",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284615194",
            "telephone_number": "910-362-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7420 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119453",
            "country_code": "US",
            "telephone_number": "910-362-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-362-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017356",
            "country_code": "US",
            "telephone_number": "910-362-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-362-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
        "enumeration_date": "2009-09-08",
        "last_updated": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "910-667-7597"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1520 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atlantic Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Cannon Durham, CNP
• Amanda Carey, PA-C
• Carillon Assisted Living of Southport
• William D Carmichael, DDS
• Carolina Comprehensive Health
• Carolina Healthcare Associates, Inc.
• Carolina Healthcare Products, Inc
• Carolina Manual Therapy LLC
• Carolina Strong Physical Therapy, LLC
• Sherrie Gray Cass, FNP-C

• Urology Physician in Southport, NC
• Providers in Southport, NC by specialty
• Urology Physician in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.