Organization Active NPI

Carolina Primary Care and Women'S Health, PA

  • Primary Care Clinic/Center
  • Morrisville, NC
National Provider Identifier
1285884833
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2007-01007 Issued in NC
Legal business name
CAROLINA PRIMARY CARE AND WOMEN'S HEALTH, PA
Practice address
101 Lattner Court
Suite 100
Morrisville, NC 27560-6843
Phone
(919) 297-0348
Fax
(919) 297-0349
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Dr. Bhavani LagadapatiNPI 1760484299
Title
MD
Phone
(919) 297-0348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2007-01007 NC Primary
Urgent Care Clinic/Center 261QU0200X 2007-01007 NC

Addresses

Primary practice location

101 Lattner Court
Suite 100
Morrisville, NC 27560-6843

Mailing address

101 Lattner CT Ste 100
Morrisville, NC 27560-9584
Phone (919) 297-0348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000566 NC Part B Supplier - Clinic/Group Practice 3072661073 Receives reassigned benefits from 4 practitioners
Practice locations: Morrisville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2001188Carolina Primary Care & Women'S Health101 Lattner Court, Suite 100, Morrisville, NC 27560Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

101 Lattner Ct
Morrisville, NC 27560
Phone (919) 336-5663

101 Lattner Ct
Ste 100
Morrisville, NC 27560
Phone (919) 235-0216

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1285884833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LATTNER CT STE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275609584",
            "telephone_number": "919-297-0348",
            "fax_number": "919-297-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LATTNER COURT",
            "address_2": "SUITE 100",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606843",
            "telephone_number": "919-297-0348",
            "fax_number": "919-297-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PRIMARY CARE AND WOMEN'S HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "LAGADAPATI",
        "authorized_official_first_name": "BHAVANI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "919-297-0348",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2007-01007",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "2007-01007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.