Physical Medicine of the Carolinas

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009-01463 Issued in NC

Legal business name

PHYSICAL MEDICINE OF THE CAROLINAS

Practice address

1407 NC Highway 66 S
Suite G
Kernersville, NC 27284-3791

Phone

(336) 992-0110

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Richard S Schaffer Jr., MD

Title

Medical Director

Phone

(803) 547-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1346650512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 NC HIGHWAY 66 S",
            "address_2": "SUITE G",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843791",
            "telephone_number": "336-992-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NC HIGHWAY 66 S",
            "address_2": "SUITE G",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843791",
            "telephone_number": "336-992-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-547-4343",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trilbian Pettigrew
• Laura Phelps, D.D.S.
• Jaret Phillips, M.A., LCMHCA, NCC
• Physical Medicine of the Carolina's
• Physical Medicine of the Carolinas
• Michael John Piazza, MD
• Emerald Grace Picarra, NP
• Piedmont Chiropractic Center, P.a.
• Piedmont Counseling Center
• Piedmont Gastroenterology Specialists

• Family Medicine Physician in Kernersville, NC
• Providers in Kernersville, 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 27, 2014; 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.