Active NPI
Carol A Brown, NP
- Adult Health Nurse Practitioner
- Winston Salem, NC
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN 156187
- Practice address
- 3880 Vest Mill Rd
Suite 100
Winston Salem, NC 27103-1323 - Phone
- (336) 251-1114
- Fax
- (336) 251-1116
- NPI assigned
- Apr 17, 2006
- Last updated
- Feb 6, 2008
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN 156187 | TN | Primary |
Addresses
Primary practice location
3880 Vest Mill Rd
Suite 100
Winston Salem, NC 27103-1323
Mailing address
3880 Vest Mill Rd
Suite 100
Winston Salem, NC 27103-1323
Phone (336) 251-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 156187 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pace Health Network, LLC | Current | Accepting new patients | |
| Physicians Eldercare PA | Past | Accepting new patients | |
| Hickory Long Term Care | Past | Accepting new patients |
Locations
102 W Main St
Ste A
Whiteville, NC 28472
Phone (910) 642-7463
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Whiteville, NC
- NPI 1063960904
-
- Family Medicine Physician
- Hickory, NC
- NPI 1427166032
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1427012301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 VEST MILL RD",
"address_2": "SUITE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031323",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 VEST MILL RD",
"address_2": "SUITE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031323",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAROL",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "RN 156187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.