Individual provider Active NPI

Carla Francisna Poyner

  • Clinical Social Worker
  • Elizabeth City, NC
National Provider Identifier
1306066931
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012177 Issued in NC
Practice address
110 Medical Dr. Suite 5
Elizabeth City, NC 27909
Phone
(252) 384-0388
Fax
(252) 384-0188
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X C012177 NC Primary

Addresses

Primary practice location

110 Medical Dr. Suite 5
Elizabeth City, NC 27909

Mailing address

PO Box 885
Ahoskie, NC 27910-0885
Phone (252) 439-0070

Other practice location 1

United States Air Force
1350 E. Broadway Suite 106
Tempe, AZ 85282
Phone (480) 968-8721

Other practice location 2

United States Air Force
1350 E. Broadway Suite 106
Tempe, AZ 85282
Phone (480) 968-8721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1306066931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 885",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100885",
            "telephone_number": "252-439-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL DR. SUITE 5",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909",
            "telephone_number": "252-384-0388",
            "fax_number": "252-384-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "United States Air Force",
            "address_2": "1350 E. Broadway Suite 106",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "85282",
            "country_code": "US",
            "telephone_number": "480-968-8721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "United States Air Force",
            "address_2": "1350 E. Broadway Suite 106",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "85282",
            "country_code": "US",
            "telephone_number": "480-968-8721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POYNER",
        "first_name": "CARLA",
        "middle_name": "FRANCISNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.