Carl John Seashore, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2008-00016 Issued in NC

Practice address

6013 Farrington Rd Ste 300
Chapel Hill, NC 27517-8195

Phone

(984) 974-6669

Fax

(984) 974-9609

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  Pediatrics

  Medicare reassignment NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830

  Pediatrics

  NPD
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Siler City, NC
  • NPI 1942624218
  NPD
• University of North Carolina Hospitals at Chapel Hill

  • Pediatric Nutrition Registered Dietitian
  • Chapel Hill, NC
  • NPI 1861415804
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1306836580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MACNIDER",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997225",
            "telephone_number": "919-966-2504",
            "fax_number": "919-966-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 FARRINGTON RD STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178195",
            "telephone_number": "984-974-6669",
            "fax_number": "984-974-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275994600",
            "country_code": "US",
            "telephone_number": "919-966-2504",
            "fax_number": "919-966-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEASHORE",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-00016",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "216779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004917",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cseashore3849@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6715 McCrimmon Pkwy Ste 300",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275191916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark W Scroggs, M.D.
• Aviva Sarah Scully, LCSW
• Sea Coast Recovery, LLC
• Jackson T Seagroves, DDS
• Meredith R Seagroves, LCSWA
• Mathew Sebastian, MD, PHD
• Deborah Lee Sebring, PHD
• Jan A Sedway, PHD
• Bruno Dominic Segovia-Chumbez, DDS
• Abhinav Sehgal

• Pediatrics Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.