Carolina Arthritis Center, PA

Organization Active NPI Rheumatology Physician · Greenville, NC

NPI 1477549780 · NPPES record last updated Nov 29, 2023

Key facts

NPI
1477549780
Entity type
Organization (NPI type 2)
Primary specialty
Rheumatology Physician 207RR0500X
Legal business name
CAROLINA ARTHRITIS CENTER, PA
Practice address
2355 Hemby LN
Greenville, NC 27834-3776
Phone
(252) 321-8474
Fax
(252) 695-6177
NPI assigned
Sep 22, 2005
Organization subpart
No

Authorized official

Name
April Bryant
Title
Practice Administrator
Phone
(252) 321-8474

Practitioners 5

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0993828Carolina Arthritis Center
2355 Hemby Lane, Greenville, NC 27834
ComplianceFeb 20, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060619000329 NC Part B Supplier - Clinic/Group Practice 0143232991 Receives reassigned benefits from 5 practitioners
Practice locations: Greenville, NC

National Provider Directory

Locations

2355 Hemby Ln
Greenville, NC 27834
Phone (252) 321-8474

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RR0500X NC Yes
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2355 Hemby LN
Greenville, NC 27834-3776

Mailing address

2355 Hemby LN
Greenville, NC 27834-3776
Phone (252) 321-8474

Other identifiers

IdentifierTypeStateIssuer
012X7OtherNCBCBS

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address cacnc@direct.cacnc.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 29, 2023.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1477549780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343776",
            "telephone_number": "252-321-8474",
            "fax_number": "252-695-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343776",
            "telephone_number": "252-321-8474",
            "fax_number": "252-695-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ARTHRITIS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-321-8474"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012X7",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cacnc@direct.cacnc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2355 Hemby Ln",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278343776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

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Sources for this page

Verify at the official NPI Registry.