Active NPI
Carolinas Physicians Network, Inc.
- Endocrinology, Diabetes & Metabolism Physician
- Indian Trail, NC
National Provider Identifier
1447596259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC.
- Practice address
- 4503 Old Monroe Rd
Suite a
Indian Trail, NC 28079-5309 - Phone
- (704) 684-0003
- Fax
- (704) 684-0041
- NPI assigned
- Dec 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
4503 Old Monroe Rd
Suite a
Indian Trail, NC 28079-5309
Mailing address
PO Box 601888
Charlotte, NC 28260-1888
Phone (704) 684-0003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPB652 | Medicaid | SC | |
| 5922605 | Medicaid | NC |
Other names 1
- Union Endocrinology Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Cotswold Urgent Care
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Albemarle, NC
- NPI 1174604151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471564800000",
"number": "1447596259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601888",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601888",
"telephone_number": "704-684-0003",
"fax_number": "704-684-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4503 OLD MONROE RD",
"address_2": "SUITE A",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280795309",
"telephone_number": "704-684-0003",
"fax_number": "704-684-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2012-12-26",
"last_updated": "2016-08-19",
"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": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPB652",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5922605",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Union Endocrinology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indian Trail, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.