Carolina Family Healthcare, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9801330 Issued in NC

Legal business name

CAROLINA FAMILY HEALTHCARE, PA

Practice address

1932 Weddington Rd
Weddington, NC 28104-8318

Phone

(704) 847-4000

Fax

(704) 847-4001

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dino Peter Kanelos, MDNPI 1306959705

Title

President

Phone

(704) 847-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Carolina Family Healthcare, PA

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1548529878

  O20040610000138

  Same enrollment

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4412/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dino Peter Kanelos, M.D.

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1306959705
  Authorized official Same address or phone

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346457348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-847-4000",
            "fax_number": "704-847-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 WEDDINGTON RD",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281048318",
            "telephone_number": "704-847-4000",
            "fax_number": "704-847-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANELOS",
        "authorized_official_first_name": "DINO",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-847-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9801330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda P Anderson Ms CCC-SLP LLC
• Amanda Page Anderson, M.S CCC-SLP
• Sara Bearhalter, PHARMD
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• Buckingham Chiropractic P.L.L.C.
• Chris Vrabel, Psy.D., PLLC
• Jennifer Hibbert Coggins, MSW, LCSW
• Daniel Edward Danieley, D.C.
• Cindy Ejindu
• Elios Anesthesiology Group, PA

• Family Medicine Physician in Weddington, NC
• Providers in Weddington, 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.
• 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.