Carolinas Physicians Network, Inc.
Organization Active NPI Pediatric Cardiology Physician · Davidson, NC
NPI 1275858698 · NPPES record last updated Aug 17, 2016
Key facts
- NPI
- 1275858698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC.
- Practice address
- 705 Griffith Street
Suite 100
Davidson, NC 28036-9305 - Phone
- (704) 373-1813
- Fax
- (704) 342-5871
- NPI assigned
- Mar 29, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- SVP
- Phone
- (704) 631-0002
Practitioners 2
-
Leverne Smith Fox Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000455 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 1,949 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician |
2080P0202X | Yes |
Addresses
Primary practice location
705 Griffith Street
Suite 100
Davidson, NC 28036-9305
Mailing address
PO Box 601067
Charlotte, NC 28260-1067
Phone (704) 373-1813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950662 | Medicaid | NC |
Other names
- The Sanger Clinic
Other providers in Davidson, NC
- Carolinas Medical Center
- Carolinas Medical Center-Northeast
- Carolinas Medical Center-Northeast
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Suzanne Noelle Carr
- Miranda Casey Huston
- Jay Alexander Caskey
- Mandy G. Castor
- Athena Catacalos
All providers in Davidson, NC · Pediatric Cardiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.