Active NPI
Carolinas Pain Institute, PA
- Non-Pharmacy Dispensing Site
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- CAROLINAS PAIN INSTITUTE, PA
- Practice address
- 145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972 - Phone
- (336) 765-6181
- Fax
- (336) 765-8492
- NPI assigned
- Dec 9, 2019
- Last updated
- Dec 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Matthew North, MD
- Title
- Vice President
- Phone
- (336) 765-6181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | NU | Primary |
Addresses
Primary practice location
145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Mailing address
145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902221 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Carolinas Pain Institute PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Carolinas Pain Institute
- Pain Medicine Physician
- Charlotte, NC
- NPI 1790305241
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Winston Salem, NC
- NPI 1780638163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575849600000",
"number": "1427695477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR STE 330",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036972",
"telephone_number": "336-765-6181",
"fax_number": "336-765-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR STE 330",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036972",
"telephone_number": "336-765-6181",
"fax_number": "336-765-8492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PAIN INSTITUTE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-09",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A",
"authorized_official_last_name": "NORTH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "336-765-6181",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902221",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Carolina Wound Care and Physical Therapy (Carolina Wound Therapy)
- Carolinas Fertility Institute, P.a.
- Carolinas Home Health, LLC
- Carolinas Medical Center at Home LLC (Atrium Health At Home HME Winston-Salem)
- Carolinas Pain Institute, PA
- Suzanne N Caroon, LCSW
- Jimmy Wayne Carpenter, C.PED
- Sahaja Mahathi Carpenter, MD
- Stephanie Allen Carpenter, RD
- Anne Kizer Carper, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.