Active NPI
Carter J Childs, MD
- Pulmonary Disease Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 9700225
- Practice address
- 1090 Medical Center Dr
Wilmington, NC 28401-7353 - Phone
- (910) 343-3345
- Fax
- (910) 343-1924
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 9700225 | NC | Primary |
Addresses
Primary practice location
1090 Medical Center Dr
Wilmington, NC 28401-7353
Mailing address
1090 Medical Center Dr
Wilmington, NC 28401-7353
Phone (910) 343-3345
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1046F | Other | NC | BCBS NC |
| 110153540 | Other | NC | RAILROAD MEDICARE |
| 891046F | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchilds6391@direct.nhrmc.org | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Wake Forest University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1090 Medical Ctr Dr
Wilmington, NC 28401-7353
Phone (910) 662-8550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6921 | OK | MD | Mental Health Counselor |
| 9700225 | NC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Pulmonary Disease | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients |
Locations
512 Village Rd
Ste 101
Shallotte, NC 28470
Phone (910) 721-4390
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
1090 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-3345
Interoperability endpoints
- cchilds1244503@direct.novanthealth.org
Organizations & group practices 4
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.
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
dba Coastal Pulmonary
- Pulmonary Disease Physician
- Wilmington, NC
- NPI 1811582877
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Brunswick Medical Center
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
dba Novant Health Pender Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Burgaw, NC
- NPI 1780653865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1356349435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017353",
"telephone_number": "910-343-3345",
"fax_number": "910-343-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017353",
"telephone_number": "910-343-3345",
"fax_number": "910-343-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "CARTER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "9700225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "1046F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110153540",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891046F",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cchilds6391@direct.nhrmc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "1090 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"country_code": "US",
"postal_code": "284017353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
- Casey Jo Chevalier, PA-C
- Madeline Elizabeth Chiarizia
- Jeffrey Beecham Chick, M.D.
- Child Advocacy and Parenting Place Exchange Club Center Inc.
- Child Development Center, Inc.
- Paul S Chipley, MD
- Chiropractic Center of Wilmington, Inc
- Choice Healthcare Center, P.C.
- Ahmad Bilal Choudry, MD
- Shatabdi Chowdhury
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.