Carolinas Physicians Network Inc

Key facts

NPI: 1487091013
Entity type: Organization (NPI type 2)
Primary specialty: Sports Medicine (Internal Medicine) Physician 207RS0010X
Legal business name: CAROLINAS PHYSICIANS NETWORK INC
Practice address: 5651 Poplar Tent Rd
Suite 200
Concord, NC 28027-7530
Phone: (704) 863-4878
NPI assigned: May 22, 2013
Organization subpart: Yes
Parent organization (as reported): CAROLINAS PHYSICIANS NETWORK INC

Authorized official

Name: Daniel L Wiens
Title: SVP/Operations
Phone: (704) 355-0648

Member of 19

Organizations this organization is a member of, according to the National Provider Directory.

Arboretum Urgent Care Center Family Medicine Physician · Charlotte, NC · NPI 1457380313

NPD member Member Of
Carmel Family Physicians Family Medicine Physician · Charlotte, NC · NPI 1164453726

NPD member Member Of
Carolinas Hematology-Oncology Associates Hematology & Oncology Physician · Charlotte, NC · NPI 1245561554

NPD member Member Of
Carolinas Physicians Network Inc Family Medicine Physician · Huntersville, NC · NPI 1508892746

NPD member Member Of
Charlotte Medical Clinic Internal Medicine Physician · Charlotte, NC · NPI 1255575072

NPD member Member Of
Cox Road Urgent Care Family Medicine Physician · Gastonia, NC · NPI 1730118480

NPD member Member Of
Davidson Clinic Family Medicine Physician · Davidson, NC · NPI 1902837073

NPD member Member Of
Eastland Urgent Care Family Medicine Physician · Charlotte, NC · NPI 1467481127

NPD member Member Of
Harrisburg Family Physicians Family Medicine Physician · Harrisburg, NC · NPI 1891726634

NPD member Member Of
Lakemont Family Medicine Family Medicine Physician · Lincolnton, NC · NPI 1427088582

NPD member Member Of
Lincoln Family Practice Family Medicine Physician · Lincolnton, NC · NPI 1215967377

NPD member Member Of
Mecklenburg Medical Group Durable Medical Equipment & Medical Supplies · Charlotte, NC · NPI 1477879260

NPD member Member Of
Riverbend Family Physicians Chiropractor · Mount Holly, NC · NPI 1154352938

NPD member Member Of
St. Luke'S Physician Network Inc. Orthopaedic Surgery Physician · Columbus, NC · NPI 1154563385

NPD member Member Of
Steele Creek Urgent Care Family Medicine Physician · Charlotte, NC · NPI 1750317921

NPD member Member Of
The Charlotte-Mecklenburg Hospital Authority Psychiatric Hospital Unit · Concord, NC · NPI 1629283866

NPD member Member Of
Union Physicians Network Inc Family Medicine Physician · Monroe, NC · NPI 1962578682

NPD member Member Of
Union Urgent Care LLC Durable Medical Equipment & Medical Supplies · Monroe, NC · NPI 1063421469

NPD member Member Of
Shiland Family Medicine Family Medicine Physician · Fort Mill, SC · NPI 1548406077

NPD member Member Of

Practitioners 4

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

Robyn E Gonzales, FNP Nurse Practitioner · Indian Trail, NC · NPI 1063815827

NPD
Gregory Blake Goode, MD Pediatrics Physician · Rutherfordton, NC · NPI 1730198656

NPD
Jacqueline D. Sharp, NP Nurse Practitioner · Charlotte, NC · NPI 1235353673

NPD
Marinda A. Wells, MD Family Medicine Physician · Shelby, NC · NPI 1649564394

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040115000819	NC	Part B Supplier - Clinic/Group Practice	3375449655	Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment

National Provider Directory

Part of: Cotswold Urgent Care

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Sports Medicine (Internal Medicine) Physician Group: 193200000X MULTI-SPECIALTY GROUP	207RS0010X			Yes

Addresses

Primary practice location

5651 Poplar Tent Rd
Suite 200
Concord, NC 28027-7530

Mailing address

PO Box 602148
Charlotte, NC 28260-2148
Phone (704) 863-4878

Other identifiers

Identifier	Type	State	Issuer
4843180046	Other	NC	NC MEDICARE DME
1487091013	Medicaid	NC

Other names

Sports Medicine and Injury Care Doing business as

Other providers in Concord, NC

All providers in Concord, NC · Sports Medicine (Internal Medicine) 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 Jan 10, 2014. 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.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.