Active NPI
Carolinas Physicians Network, Inc.
- Neurology Physician
- Charlotte, NC
National Provider Identifier
1437484243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC.
- Practice address
- 10320 Mallard Creek Road
Suite 230
Charlotte, NC 28262-5209 - Phone
- (704) 377-9323
- Fax
- (704) 331-4030
- NPI assigned
- Oct 13, 2009
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- Senior Vice President
- Phone
- (704) 631-0002
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Clinical Neurophysiology Physician | 2084N0600X |
Addresses
Primary practice location
10320 Mallard Creek Road
Suite 230
Charlotte, NC 28262-5209
Mailing address
PO Box 602478
Charlotte, NC 28260-2478
Phone (704) 377-9323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPB338 | Medicaid | SC | |
| 5913179 | Medicaid | NC |
Other names 1
- Carolina Neurological Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
National Provider Directory
National Provider Directory- Part of
- Cotswold Urgent Care
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
202 E Grover St
Shelby, NC 28150
Phone (704) 482-7311
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1932163516
-
- Neurology Physician
- Charlotte, NC
- NPI 1821052945
-
- Neurology Physician
- Charlotte, NC
- NPI 1558399691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470873600000",
"number": "1437484243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602478",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602478",
"telephone_number": "704-377-9323",
"fax_number": "704-331-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10320 MALLARD CREEK ROAD",
"address_2": "SUITE 230",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282625209",
"telephone_number": "704-377-9323",
"fax_number": "704-331-4030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2009-10-13",
"last_updated": "2016-08-11",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "FORD",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "704-631-0002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPB338",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913179",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Neurological Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
- Carolinas Physicians Network Inc.
- Carolinas Physicians Network, Inc
- Carolinas Physicians Network, Inc
- Carolinas Physicians Network, Inc.
- Carolinas Physicians Network, Inc.
- Carolinas Physicians Network, Inc.
- Carolinas Physicians Network, Inc.
- Carolinas Physicians Network, Inc.
- Carolinas Physicians Network, Inc.
- Carolinas Physicians Network, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.