Carolina Family Medicine and Dermatology

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CAROLINA FAMILY MEDICINE AND DERMATOLOGY

Practice address

3000 Bethesda PL
Suite 601
Winston Salem, NC 27103-3331

Phone

(919) 751-9120

Fax

(919) 751-9170

NPI assigned

Mar 5, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anne L White, MD

Title

Owner

Phone

(919) 751-9120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1437288719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "SUITE 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "SUITE 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY MEDICINE AND DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-751-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927324",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Access Life Line, LLC
• Carolina Classic Senior Care, LLC
• Carolina Counselors, PLLC
• Carolina Diagnostics, Inc.
• Carolina Eye Associates Inc (Carolina Eye Associates PA)
• Carolina IV Solutions, Inc
• Carolina Medicorp Enterprises Inc (Prime Care of North Point)
• Carolina Medicorp Enterprises Inc
• Carolina Medicorp Enterprises Inc
• Carolina Medicorp Enterprises Inc (Novant Health Urgent Care & Occupational Medicine)

• Multi-Specialty Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.