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
-
Kyle Charles Harner, M.D
-
Robert Oglesby, MD
-
Melissa Edith Ott, FNP-C
-
Jennifer Hammond, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0993828 | Carolina Arthritis Center | Compliance | Feb 20, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012X7 | Other | NC | BCBS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cacnc@direct.cacnc.nextgenshare.com |
NPI Registry JSON
{
"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
- Laura Williams Carmon
- Trena M Carmon
- Zachary Carnevale
- Dorcas M Carney
- Gwendolyn Carnighan
- Carolina Assessment and Treatment Services
- Carolina Breast & Oncologic Surgery PLLC
- Carolina Breast Imaging Specialists PLLC
- Carolina Children'S Heart Specialists
- Carolina Clinic for Health and Wellness PA
All providers in Greenville, NC · Rheumatology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.