Central Carolina Medical Associates, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

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

Organization subpart

No

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

Authorized official

Name

Mr. Philip D. Veatch, MDNPI 1174503718

Title

President

Phone

(704) 983-3855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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

• Philip Veatch, MD

  • Internal Medicine Physician
  • Albemarle, NC
  • NPI 1174503718
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew James Poplin, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1407352727
  Medicare reassignment Care Compare group NPD
• Katie Furr, PA-C

  • Physician Assistant
  • Albemarle, NC
  • NPI 1801287479
  Medicare reassignment Care Compare group
• Lillian Christina Veatch, NP

  • Primary Care Nurse Practitioner
  • Albemarle, NC
  • NPI 1801427331

  Internal Medicine

  Medicare reassignment NPD
• Lynsey Morgan Carter, PA-C

  • Physician Assistant
  • Monroe, NC
  • NPI 1750130985
  Medicare reassignment
• Rachel G Louis, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1215350988
  Medicare reassignment
• Kristi Whitley Small, PA-C

  • Physician Assistant
  • Albemarle, NC
  • NPI 1992775175
  Medicare reassignment
• Cynthia Kupsick Honeycutt, ANP-BC

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1528215407
  NPD (past)
• Phyllis T. Kupsick, FNP-C

  • Family Nurse Practitioner
  • Albemarle, NC
  • NPI 1033199682
  NPD (past)
• Ty Smith, PA

  • Physician Assistant
  • Albemarle, NC
  • NPI 1811769599
  NPD (past)
• Thomas Johnson Beckett, M.D.

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1699781112
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8984978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Coleman Castelloe, RPH
• Catherine B. Laws, D.D.S., P.L.L.C.
• Wendy A Caudle
• Cel O.D. PLLC
• Cel O.D. PLLC
• Jennifer Simpson Chamley, LPTA
• Jeffery Chance
• Changing Seasons Counseling Sevice
• Judith W. Chappell, LCAS, LCMHS, CCS
• Charlie'S Light Counseling, PLLC

• Internal Medicine Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Internal Medicine Physician in North Carolina

• 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.

Verify at the official NPI Registry.