Organization Active NPI

St. Lukes Physician Network, Inc

Doing business as Carolinas Hospitalist Group

  • Hospitalist Physician
  • Columbus, NC
National Provider Identifier
1295132009
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ST. LUKES PHYSICIAN NETWORK, INC
Doing business as
Carolinas Hospitalist Group
Practice address
101 Hospital Dr
Columbus, NC 28722-6418
Phone
(828) 894-3311
NPI assigned
Nov 21, 2014
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES PHYSICIAN NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Elizabeth Weathers Presnell
Title
Cfo
Phone
(828) 894-0954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

101 Hospital Dr
Columbus, NC 28722-6418

Mailing address

PO Box 602229
Charlotte, NC 28260-2229
Phone (828) 894-3311

Other identifiers 2

IdentifierTypeStateIssuer
1295132009MedicaidNC
NPB665MedicaidSC

Other names 1

  • Carolinas Hospitalist Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000465 NC Part B Supplier - Clinic/Group Practice 8224190277 Receives reassigned benefits from 3 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincolnton, NC; Wilmington, NC; Shelby, NC; Monroe, NC; Laurinburg, NC; Concord, NC; Columbus, NC; Charlotte, NC

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
St Lukes Physician Network

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1295132009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602229",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602229",
            "telephone_number": "828-894-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287226418",
            "telephone_number": "828-894-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKES PHYSICIAN NETWORK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES PHYSICIAN NETWORK INC",
        "enumeration_date": "2014-11-21",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WEATHERS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-894-0954"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295132009",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.

Verify at the official NPI Registry.