Joana Alexandra Carnahan – Family Medicine Physician

Key facts

NPI: 1376923540
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 2018-02980 (NC)
Practice address: 509 Olde Waterford Way Ste 200
Leland, NC 28451-4126
Phone: (910) 408-1130
Fax: (910) 408-1135
NPI assigned: Jun 3, 2015
Sex: Female
Sole proprietor: No

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.

Brunswick Community Hospital, LLC Certified Registered Nurse Anesthetist · Bolivia, NC · NPI 1669725198

Medicare reassignment NPD NC
Novant Health Medical Group, LLC Neurology with Special Qualifications in Child Neurology Physician · Charlotte, NC · NPI 1366409492

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190424000658	NC	Practitioner - Family Practice	5890091425	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
2018-02980	NC	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Novant Health Medical Group, LLC		Current	Accepting new patients
Brunswick Community Hospital, LLC		Current since Nov 18, 2019	Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	34.012972	OH
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine Physician	207Q00000X	2018-02980	NC	Yes

Addresses

Primary practice location

509 Olde Waterford Way Ste 200
Leland, NC 28451-4126

Mailing address

509 Olde Waterford Way Ste 200
Leland, NC 28451-4126
Phone (910) 408-1130

Other practice location 1

27100 Chardon Rd
Cleveland, OH 44143-1116
Phone (440) 494-4696

Other names

Joana Raduta Former name

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	jcarnahan681825@direct.novanthealth.org		Novant Health Medical Group, LLC

Other providers in Leland, NC

All providers in Leland, NC · Family Medicine Physician in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.