Carolina Colon & Rectal Specialists PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

CAROLINA COLON & RECTAL SPECIALISTS PA

Practice address

3049 Senna Dr
Matthews, NC 28105-6727

Phone

(980) 339-5155

Fax

(980) 216-8522

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brian Jerby, MD

Title

Surgeon

Phone

(980) 339-5155

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Heather Jerby, AGNP-C

  • Nurse Practitioner
  • Matthews, NC
  • NPI 1215561097
  NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1447861968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "980-339-5155",
            "fax_number": "980-216-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "980-339-5155",
            "fax_number": "980-216-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COLON & RECTAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "JERBY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "980-339-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Elizabeth Carlston, PA-C
• Kristen Emily Carney, RD, LDN
• Carolina Family and Maternal Counseling, PLLC
• Carolina Family Counseling, PLLC
• Carolina Family Healthcare
• Carolina Medicorp Enterprises,Inc
• Carolina Neurosurgery & Spine Associates, PA

• Colon & Rectal Surgery Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Colon & Rectal Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.