Active NPI
Carrie Ann Fales, MD
- Emergency Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 164587
- Practice address
- 4402 Shipyard Blvd
Wilmington, NC 28403-6161 - Phone
- (910) 202-3363
- NPI assigned
- Apr 13, 2010
- Last updated
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 164587 | NC | Primary |
Addresses
Primary practice location
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Mailing address
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 202-3363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417273624 | Medicaid | NC | |
| 1417273624 | Other | NC | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Human Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| Tanglewood Park Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Ecep II PA | Emergency Medicine | Current | Accepting new patients |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Piedmont Triad Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Brunswick Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Ecep II PA | Emergency Medicine | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Current | Accepting new patients | |
| Kernersville Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Ecep II PA | Emergency Medicine | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Brunswick Community Hospital, LLC | Past | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827
924 N Howe St
Southport, NC 28461
Phone (910) 457-3800
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
151 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 662-8440
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363
5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Interoperability endpoints
- cfales696424@direct.novanthealth.org
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
dba Novant Health Brunswick Medical Center CRNAS
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
-
- Emergency Medicine Physician
- Bolivia, NC
- NPI 1457822264
-
- Emergency Medicine Physician
- Burgaw, NC
- NPI 1255407680
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- General Acute Care Hospital
- Southport, NC
- NPI 1275660342
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- Emergency Medicine Physician
- Kernersville, NC
- NPI 1750852034
-
dba Professional Service of Thomasville Medical Center
- Specialist
- Thomasville, NC
- NPI 1033160205
-
- Emergency Medicine Physician
- Thomasville, NC
- NPI 1295206464
-
- Emergency Medicine Physician
- Clemmons, NC
- NPI 1093286379
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, NC
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
dba Novant Health Pender Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Burgaw, NC
- NPI 1780653865
-
- General Acute Care Hospital
- Clinton, NC
- NPI 1609857432
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": "1708473600000",
"number": "1417273624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036161",
"telephone_number": "910-202-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036161",
"telephone_number": "910-202-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALES",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "164587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417273624",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "1417273624",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.