Individual provider Active NPI

Carol Dwan Webb, M.D.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1356667570
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201400181 Issued in NC
Practice address
3800 Robert Porcher Way
Greensboro, NC 27410-2557
Phone
(336) 282-0376
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101255559 VA
Internal Medicine Physician 207R00000X 0101255559 VA
Internal Medicine Physician 207R00000X 201400181 NC
Family Medicine Physician 207Q00000X 201400181 NC Primary

Addresses

Primary practice location

3800 Robert Porcher Way
Greensboro, NC 27410-2557

Mailing address

3800 Robert Porcher Way
Greensboro, NC 27410-2557
Phone (336) 282-0376

Other names 1

  • Dr. Carol Rose Dwan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carol.webb@eaglep.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140725000891 NC Practitioner - Family PracticePractitioner - Internal Medicine 4385860469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Maryland School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

324 W Wendover Ave
Suite 200
Greensboro, NC 27408-8437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201400181NCMDInternal Medicine Physician
0101255559VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Family Medicine CurrentSince Sep 2, 2014 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Sep 2, 2014 Accepting new patients

Locations

324 W Wendover Ave
Ste 200
Greensboro, NC 27408
Phone (336) 274-6515

3800 Robert Porcher Way
Ste 200
Greensboro, NC 27410
Phone (336) 268-3280

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1356667570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 ROBERT PORCHER WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102557",
            "telephone_number": "336-282-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 ROBERT PORCHER WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102557",
            "telephone_number": "336-282-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CAROL",
        "middle_name": "DWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101255559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201400181",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201400181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carol.webb@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3800 Robert Porcher Way",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274102557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "DWAN",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.