Carolina Premier Health Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38219 Issued in NC

Legal business name

CAROLINA PREMIER HEALTH CARE PA

Practice address

630 S Bennett Street
Southern Pines, NC 28384

Phone

(910) 693-1678

Fax

(910) 693-1612

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Summers, MDNPI 1427092519

Title

President

Phone

(910) 693-1698

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Family Care Plus Doing business as

Locations

Practitioners 1

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

• Andrew Summers, MD

  • Emergency Medicine Physician
  • Camden, SC
  • NPI 1427092519
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295818441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S BENNETT STREET",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28384",
            "telephone_number": "910-693-1678",
            "fax_number": "910-693-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S BENNETT STREET",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28384",
            "telephone_number": "910-693-1678",
            "fax_number": "910-693-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PREMIER HEALTH CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-693-1698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS HEALTH PLAN",
            "identifier": "022757",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "01241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80897",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE SAVINGS",
            "identifier": "56142",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8980897",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH2000455",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012H1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cardinal Clinic LLC
• Cardinal Family Chiropractic, PA
• Caroline Goforth Carlson, PT
• Carolina Eye Associates Inc
• Carolina Health Services, Inc.
• Christopher Carpenter, PT, DPT
• Sarah Elizabeth Carr, M.D.
• Chelsea Armfield Carroll, LPC
• Kinsie Carroll
• Al Joseph Carter

• Family Medicine Physician in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.