NPIMap

Individual provider Active NPI

David Caron, MD

  • Internal Medicine Physician
  • Granite Quarry, NC
National Provider Identifier
1467518928
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200800898 Issued in NC
Practice address
115 Brown St SW
Suite 101
Granite Quarry, NC 28072-0689
Phone
(704) 279-1697
Fax
(704) 279-1677
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT184601 PA
Internal Medicine Physician 207R00000X 200800898 NC Primary

Addresses

Primary practice location

115 Brown St SW
Suite 101
Granite Quarry, NC 28072-0689

Mailing address

PO Box 602362
Charlotte, NC 28260-2362
Phone (704) 279-1697

Other identifiers 2

IdentifierTypeStateIssuer
232009OtherNCMEDICARE GROUP PTAN
5910164MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dcaron15737@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000366 NC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9436225794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GQ Internal Medicine and Pediatrics PLLCGroup PAC ID 1355781659, 2 clinicians

Practice addresses (Care Compare)

111 S Salisbury GQ Ave
Salisbury, NC 28146-8150
Phone (704) 279-1679

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Kernersville, NC, CCN 347318
  • Adoration Home Health Home health agency, Salisbury, NC, CCN 347116
  • Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Trinity Oaks Nursing home, Salisbury, NC, CCN 345153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200800898NCMDInternal Medicine Physician
MT184601PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GQ Internal Medicine and Pediatrics PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

111 S Salisbury Gq Ave
Salisbury, NC 28146
Phone (704) 279-1679

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1467518928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602362",
            "telephone_number": "704-279-1697",
            "fax_number": "704-279-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROWN ST SW",
            "address_2": "SUITE 101",
            "city": "GRANITE QUARRY",
            "state": "NC",
            "postal_code": "280720689",
            "telephone_number": "704-279-1697",
            "fax_number": "704-279-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT184601",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200800898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "232009",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910164",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcaron15737@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "115 Brown St SW",
            "address_2": "Suite 101",
            "city": "Granite Quarry",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280720689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granite Quarry, NC

Sources for this page

Verify at the official NPI Registry.