Carolina Pain Consultants

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

18045 Issued in NC

Legal business name

CAROLINA PAIN CONSULTANTS

Practice address

610 Signal Hill Drive Ext
Suite 100
Statesville, NC 28625-4337

Phone

(704) 818-0480

Fax

(704) 818-0490

NPI assigned

Jun 19, 2007

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Dussel Pritchard, MDNPI 1528092947

Title

Owner

Phone

(704) 818-0480

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas D Pritchard, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Statesville, NC
  • NPI 1528092947
  Authorized official Same address or phone

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1477758597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633214",
            "telephone_number": "704-818-0480",
            "fax_number": "704-818-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SIGNAL HILL DRIVE EXT",
            "address_2": "SUITE 100",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254337",
            "telephone_number": "704-818-0480",
            "fax_number": "704-818-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DUSSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-818-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NC",
            "license": "18045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Health Professionals, Inc.
• Carolina Health Proffesionals, Inc.
• Carolina Lab Diagnostics, LLC
• Carolina Neurology PA
• Carolina Orthopedics and Sports Medicine Specialists, PA
• Carolina Psych Group, PA
• Carolina Rehab Incorporation
• Carolina Residential Services, Inc
• Carolina Residential Services, Inc
• Carolina Specialty Care, PA

• Pain Clinic/Center in Statesville, NC
• Providers in Statesville, NC by specialty
• Pain Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.