Carolinas Physicians Network Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC.

Doing business as

CMC Express

Practice address

1811 Matthews Township Pkwy
Matthews, NC 28105-4659

Phone

(704) 512-2048

Fax

(704) 841-2889

NPI assigned

Oct 5, 2007

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INC.As reported in NPPES

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

Authorized official

Name

Daniel L Wiens

Title

Senior Vice President

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other names 1

• CMC Express Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Cotswold Urgent Care

Practitioners 4

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

• Lydia Ann Battle-Williams, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1346343159
  NPD (past)
• Danielle Nicole Gatton, FNP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1194912485
  NPD (past)
• Cragin Whittier Greene, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1356305064
  NPD (past)
• Emily Stone, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1093749921
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1447448345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601946",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601946",
            "telephone_number": "704-512-2048",
            "fax_number": "704-841-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054659",
            "telephone_number": "704-512-2048",
            "fax_number": "704-841-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC.",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc
• Carolinas Physicians Network Inc.
• Caroline a Cotto LCSW Lcas PLLC
• Sarah Caron, LCSWA
• Tamra Carpenter, LMFTA
• Hilary H Carr, MSW, LCSW
• Quinn M. Carroll, LCSW

• Health Service Clinic/Center in Matthews, NC
• Providers in Matthews, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.

Verify at the official NPI Registry.