Carolyn Brumm McCormick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20317 Issued in NC

Practice address

4308 Ludgate St
Lumberton, NC 28358-2461

Phone

(910) 674-4392

Fax

(866) 295-6481

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Solas Health PLLC

  • Anesthesiology Physician
  • Pinehurst, NC
  • NPI 1710046925
  NPD
• Bladen Healthcare LLC

  dba Cape Fear Valley Bladen County Hospital

  • Critical Access Hospital
  • Elizabethtown, NC
  • NPI 1558537282
  NPD (past)
• Elwell Ferry Inpatient Services

  • Emergency Medicine Physician
  • Elizabethtown, NC
  • NPI 1255624706
  NPD (past)
• First Flight Emergency Physicians LLC

  • Emergency Medicine Physician
  • Elizabethtown, NC
  • NPI 1194053629
  NPD (past)
• Pinehurst OBGYN Associates PA

  • Obstetrics & Gynecology Physician
  • Pinehurst, NC
  • NPI 1710057443
  NPD (past)
• Spectrum Recovery Inc

  • Community/Behavioral Health Agency
  • Sanford, NC
  • NPI 1396288072
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1417917311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 N ELM ST",
            "address_2": "PBM # 121",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583010",
            "telephone_number": "910-674-4392",
            "fax_number": "866-295-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 LUDGATE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582461",
            "telephone_number": "910-674-4392",
            "fax_number": "866-295-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CAROLYN",
        "middle_name": "BRUMM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dontay Shawmonick McArn, LCMHC
• Jayme Emil McArthur-Herder, MD
• Mack Ira McClain, M.D.
• Charnelle McClellan, MA. CCC-SLP
• Patricia B McColl
• Desmond McCoy
• Reaundra McCullough-Roach, MD
• Tasha M McCullough, LCSW-A, MSW
• Joseph McDaniel Jr., M.ED., MBA
• Chauncey Maurice McDonald, DDS

• Family Medicine Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.