Active NPI
Carolinas Physicians Network, Inc.
Doing business as The Sanger Clinic
- Pediatric Cardiology Physician
- Davidson, NC
National Provider Identifier
1275858698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC.
- Doing business as
- The Sanger Clinic
- Practice address
- 705 Griffith Street
Suite 100
Davidson, NC 28036-9305 - Phone
- (704) 373-1813
- Fax
- (704) 342-5871
- NPI assigned
- Mar 29, 2010
- Last updated
- Aug 17, 2016
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- SVP
- Phone
- (704) 631-0002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
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 names 1
- The Sanger Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| 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
National Provider Directory- Part of
- Carolinas Physician Network Inc
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Lincolnton, NC
- NPI 1275695918
-
- Cardiovascular Disease Physician
- Boone, NC
- NPI 1629036488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471392000000",
"number": "1275858698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601067",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601067",
"telephone_number": "704-373-1813",
"fax_number": "704-342-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GRIFFITH STREET",
"address_2": "SUITE 100",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280369305",
"telephone_number": "704-373-1813",
"fax_number": "704-342-5871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2010-03-29",
"last_updated": "2016-08-17",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "FORD",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "704-631-0002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Sanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Davidson, NC
- Carolinas Medical Center (Atrium Health Behavioral Health Psychiatry & Counseling Davidson)
- Carolinas Medical Center-Northeast (Ardsley Internal Medicine Renaissance Square)
- Carolinas Medical Center-Northeast (NorthEast Women's Health & Obstetrics at Renaissance)
- Carolinas Physicians Network Inc (Carolinas HealthCare Urgent Care - Davidson)
- Carolinas Physicians Network Inc (Atrium Health Levine Children's Suburban Pediatrics)
- Suzanne Noelle Carr, FNP-C
- Miranda Casey Huston, DPT
- Jay Alexander Caskey, M.ED, NCC, LPCI
- Mandy G. Castor, FNP
- Athena Catacalos, CLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.