Active NPI
Carolina Healthcare Associates Inc
- Cardiovascular Disease Physician
- Bolivia, NC
National Provider Identifier
1376849059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CAROLINA HEALTHCARE ASSOCIATES INC
- Practice address
- 584 Hospital Dr NE
Unit E
Bolivia, NC 28422-0019 - Phone
- (910) 754-5453
- NPI assigned
- Jan 28, 2011
- Organization subpart
- Yes
- Parent organization
- CAROLINA HEALTHCARE ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Goodwin
- Title
- Vice-President
- Phone
- (910) 667-7597
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
584 Hospital Dr NE
Unit E
Bolivia, NC 28422-0019
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 754-5453
Other practice location 2
5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 754-5453
Other practice location 3
1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 754-5453
Other practice location 4
7420 Market St
Wilmington, NC 28411-9453
Phone (910) 754-5453
Other names 1
- Cape Fear Heart Associates
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
National Provider Directory
National Provider Directory- Part of
- Carolina Healthcare Assoc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620259200000",
"number": "1376849059",
"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",
"telephone_number": "704-631-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 HOSPITAL DR NE",
"address_2": "UNIT E",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284220019",
"telephone_number": "910-754-5453"
}
],
"practiceLocations": [
{
"address_1": "1960 S 16th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016676",
"country_code": "US",
"telephone_number": "910-754-5453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5145 S College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284122207",
"country_code": "US",
"telephone_number": "910-754-5453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1520 Physicians Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017356",
"country_code": "US",
"telephone_number": "910-754-5453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7420 Market St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284119453",
"country_code": "US",
"telephone_number": "910-754-5453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
"enumeration_date": "2011-01-28",
"last_updated": "2021-05-06",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "910-667-7597"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ambulatory@direct.carolinashealthcare.org",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1520 Physicians Dr",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284017356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Cape Fear Heart Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cape Fear Heart Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.