Carlos Andres Paxtor, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25530 Issued in SC

Practice address

225 Herlong Ave S Ste 201
Rock Hill, SC 29732-2168

Phone

(803) 327-9999

Fax

(803) 327-9998

NPI assigned

Oct 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22956/brand/1/csg/1/fhir/r4

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.

• Carolina Pediatrics at Rock Hill LLC

  • Pediatrics Physician
  • Rock Hill, SC
  • NPI 1780270744
  NPD

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1487318614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HERLONG AVE S STE 201",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322168",
            "telephone_number": "803-493-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HERLONG AVE S STE 201",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322168",
            "telephone_number": "803-327-9999",
            "fax_number": "803-327-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTOR",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patton
• Catherine Ann Paukovitz, D.P.M.
• Paul R Ponnaiya MD a Professional Corporation
• Celeste Bien Paul, OTRL
• Courtney Joanne Pavlovich, LPTA
• Carlos G Paxtor, M.D.
• Danielle Gloria Payne, PHARMD
• Jane Pearson, RN
• Celeste M Peddy
• Pediatric Eye Care & Strabismus, P.C.

• Family Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.