Carolina Primary Care, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200000934 Issued in NC

Legal business name

CAROLINA PRIMARY CARE, P.A.

Practice address

6011 Fayetteville Rd
Suite 104a
Durham, NC 27713-6248

Phone

(919) 405-2100

Fax

(919) 806-2004

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Anelia P Rose, M.D.

Title

Physician Owner

Phone

(919) 405-2100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11923/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Maxine Lorraine Murray, MD

  • Pediatrics Physician
  • Durham, NC
  • NPI 1194780346
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1275688780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD",
            "address_2": "SUITE 104A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-405-2100",
            "fax_number": "919-806-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FAYETTEVILLE RD",
            "address_2": "SUITE 104A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136248",
            "telephone_number": "919-405-2100",
            "fax_number": "919-806-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "ANELIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "919-405-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014KN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "014KN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Outreach, LLC
• Carolina Outreach, LLC
• Carolina Outreach, LLC
• Carolina Pain and Performance PLLC
• Carolina Partners in Mental
• Carolina Prontocare PLLC
• Carolina Staffing and Home Health Inc.
• Carolina Vascular Center, PLLC
• Carolina Vascular Wellness, PLLC
• Carolina Vein Center PLLC

• Family Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.