Organization Active NPI

Carolina Arthritis Associates, P.a.

  • Rheumatology Physician
  • Wilmington, NC
National Provider Identifier
1427010081
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CAROLINA ARTHRITIS ASSOCIATES, P.A.
Practice address
1710 S 17TH St
Wilmington, NC 28401-6442
Phone
(910) 762-1182
Fax
(910) 762-1291
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Stephen T Walters
Title
Practice Administrator
Phone
(910) 762-1182

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

1710 S 17TH St
Wilmington, NC 28401-6442

Mailing address

P O Box 63232
Charlotte, NC 28263-3232
Phone (910) 762-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506001674 NC Part B Supplier - Clinic/Group Practice 2860481777 Receives reassigned benefits from 7 practitioners
Practice locations: Wilmington, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0974842Carolina Arthritis Associates, PA1710 S 17TH Street, Wilmington, NC 28401AccreditationNov 5, 2027

National Provider Directory

National Provider Directory

Locations

1710 S 17th St
Wilmington, NC 28401
Phone (910) 762-1182

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1427010081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 63232",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633232",
            "telephone_number": "910-762-1182",
            "fax_number": "910-762-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016442",
            "telephone_number": "910-762-1182",
            "fax_number": "910-762-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ARTHRITIS ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-762-1182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.