Active NPI
Central Carolina Medical Associates, PA
- Internal Medicine Physician
- Albemarle, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CENTRAL CAROLINA MEDICAL ASSOCIATES, PA
- Practice address
- 1908 Hilco St
Suite B
Albemarle, NC 28001-6307 - Phone
- (704) 983-3855
- Fax
- (704) 985-1031
- NPI assigned
- Jan 19, 2006
- Last updated
- Mar 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Philip D. Veatch, MD
- Title
- President
- Phone
- (704) 983-3855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1908 Hilco St
Suite B
Albemarle, NC 28001-6307
Mailing address
1908 Hilco St
Suite B
Albemarle, NC 28001-6307
Phone (704) 983-3855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0719548 | Central Carolina Medical Associates | Provider-performed microscopy | May 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
1908 Hilco St
Ste B
Albemarle, NC 28001
Phone (704) 983-3855
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Internal Medicine Physician
- Albemarle, NC
- NPI 1174503718
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1407352727
-
- Physician Assistant
- Albemarle, NC
- NPI 1801287479
-
- Primary Care Nurse Practitioner
- Albemarle, NC
- NPI 1801427331
Internal Medicine
-
- Physician Assistant
- Monroe, NC
- NPI 1750130985
-
- Physician Assistant
- Charlotte, NC
- NPI 1215350988
-
- Physician Assistant
- Albemarle, NC
- NPI 1992775175
-
- Nurse Practitioner
- Wilmington, NC
- NPI 1528215407
-
- Family Nurse Practitioner
- Albemarle, NC
- NPI 1033199682
-
- Physician Assistant
- Albemarle, NC
- NPI 1811769599
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1699781112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394755200000",
"number": "1497735179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 HILCO ST",
"address_2": "SUITE B",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280016307",
"telephone_number": "704-983-3855",
"fax_number": "704-985-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 HILCO ST",
"address_2": "SUITE B",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280016307",
"telephone_number": "704-983-3855",
"fax_number": "704-985-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CAROLINA MEDICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2014-03-14",
"status": "A",
"authorized_official_last_name": "VEATCH",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-983-3855",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.