Individual provider Active NPI

Marla Presta-Carnes, MD

  • Obstetrics & Gynecology Physician
  • Concord, NC
National Provider Identifier
1366421901
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31619 Issued in NC
Practice address
349 Penny LN
Concord, NC 28025-1221
Phone
(704) 786-7158
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31619 NC Primary

Addresses

Primary practice location

349 Penny LN
Concord, NC 28025-1221

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

4315 Physicians Blvd
Ste 201
Harrisburg, NC 28075-7430
Phone (704) 455-5508

Other practice location 2

319 Penny Ln
Concord, NC 28025-1221
Phone (704) 786-7158

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
I20081008000790 NC Practitioner - Obstetrics/Gynecology 7911925748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31619NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Sep 1, 2008 Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Sep 1, 2008 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients

Locations

200 Medical Park Dr
Ste 430
Concord, NC 28025
Phone (704) 403-5890

349 Penny Ln
Concord, NC 28025
Phone (704) 786-7158

319 Penny Ln
Concord, NC 28025
Phone (704) 262-1911

4315 Physicians Blvd
Ste 201
Harrisburg, NC 28075
Phone (704) 455-5508

Organizations & group practices 3

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1366421901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-786-7158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4315 Physicians Blvd",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "280757430",
            "country_code": "US",
            "telephone_number": "704-455-5508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Penny Ln",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251221",
            "country_code": "US",
            "telephone_number": "704-786-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTA-CARNES",
        "first_name": "MARLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "31619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.