Carolina Collaborative Community Care, Inc

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Legal business name

CAROLINA COLLABORATIVE COMMUNITY CARE, INC

Doing business as

Carolina Collaborative Community Care (4C)

Practice address

225 Green St Ste 1006
Fayetteville, NC 28301-1700

Phone

(910) 485-1250

NPI assigned

Apr 19, 2022

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Delano K. Miller, D.MIN., M.DIV., M.A.

Title

Executive Director

Phone

(910) 487-8451

Specialties & licenses 1

Addresses

Other names 1

• Carolina Collaborative Community Care (4C) Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karin Andrea Suess, PHARM.D.

  • Pharmacist
  • Fayetteville, NC
  • NPI 1497051585
  NPD

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1386387165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GREEN ST STE 1006",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283011700",
            "telephone_number": "910-485-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GREEN ST STE 1006",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283011700",
            "telephone_number": "910-485-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COLLABORATIVE COMMUNITY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DELANO",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-487-8451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN., M.DIV., M.A."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Collaborative Community Care (4C)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Collaborative Community Care (4C)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Child Neurology, PLLC
• Carolina Children Services, LLC
• Carolina Choice LLC
• Carolina Choice LLC
• Carolina Choices of Fayetteville
• Carolina Comfort Dental
• Carolina Cumberland Operator LLC (Carolina Rehab Center of Cumberland)
• Carolina Eastern Health Services, Inc. (Carolina Eastern Health SVS, Inc)
• Carolina Eye Associates Inc (Carolina Eye Associates PA)
• Carolina Family Chiropractic PA

• Case Management Registered Nurse in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.