Organization Active NPI

Carolina Clinical Research, LLC

  • Research Study Specialist
  • Charlotte, NC
National Provider Identifier
1457948952
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
CAROLINA CLINICAL RESEARCH, LLC
Practice address
9040 Nations Ford Rd
Charlotte, NC 28273-5716
Phone
(704) 290-4587
Fax
(980) 218-0060
NPI assigned
Dec 30, 2020
Last updated
Dec 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Ms. Abigail Nicholson
Title
Site Director
Phone
(704) 290-4587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1744R1102X Primary

Addresses

Primary practice location

9040 Nations Ford Rd
Charlotte, NC 28273-5716

Mailing address

9040 Nations Ford Rd
Charlotte, NC 28273-5716
Phone (704) 290-4587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1457948952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 NATIONS FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735716",
            "telephone_number": "704-290-4587",
            "fax_number": "980-218-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 NATIONS FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735716",
            "telephone_number": "704-290-4587",
            "fax_number": "980-218-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CLINICAL RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "704-290-4587",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.