Carolina Neuroscience Institute, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

98-01269 Issued in NC

Legal business name

CAROLINA NEUROSCIENCE INSTITUTE, PC

Practice address

4030 Wake Forest Rd
Ste 115
Raleigh, NC 27609-6800

Phone

(919) 239-0264

Fax

(919) 239-0266

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lori RadcliffeNPI 1992480495

Title

Business Manager

Phone

(919) 239-0264

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Lori A Radcliffe, FNP

  • Nurse Practitioner
  • Raleigh, NC
  • NPI 1992480495
  NPD Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1275725558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD",
            "address_2": "STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096800",
            "telephone_number": "919-239-0264",
            "fax_number": "919-239-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD",
            "address_2": "STE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096800",
            "telephone_number": "919-239-0264",
            "fax_number": "919-239-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEUROSCIENCE INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-239-0264",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "98-01269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1163H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891163H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Kids Pediatric Associates
• Carolina Kids Therapy
• Carolina Neighbors Home Care, LLC
• Carolina Neurology Consultants
• Carolina Neuropsychological Service, Inc
• Carolina North Transportation
• Carolina Nutrition Specialists
• Carolina Optometry Associates, P.a.
• Carolina Outpatient Detox, LLC
• Carolina Outreach, LLC

• Neurological Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Neurological Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.