Carolinas Physicians Network, Inc.
Organization Active NPI Family Medicine Physician · Forest City, NC
NPI 1417399403 · NPPES record last updated Jun 8, 2017
Key facts
- NPI
- 1417399403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC.
- Practice address
- 249 Oak St
Forest City, NC 28043-3585 - Phone
- (828) 245-3158
- Fax
- (828) 247-6484
- NPI assigned
- Jul 19, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK, INC.
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- SVP
- Phone
- (704) 631-0002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
249 Oak St
Forest City, NC 28043-3585
Mailing address
PO Box 601884
Charlotte, NC 28260-1884
Phone (828) 245-3158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417399403 | Medicaid | NC | |
| 5913096 | Medicaid | NC | |
| NPB837 | Medicaid | SC |
Other names
- Foothills Family Health Care
Other providers in Forest City, NC
- Carolina Chiropractic Plus of Rutherford County Inc.
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc.
- Sarah Gibbs Carpenter
- Jessica D Carson
- Catherine Myton,Arnp,PH.D
- Loretta G. Catton
- Cedar Creek Living LLC
All providers in Forest City, 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 8, 2017. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.