NPIMap

Organization Active NPI

Carolina Anesthesia Group PLLC

  • Anesthesiology Physician
  • Mount Airy, NC
National Provider Identifier
1497996672
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CAROLINA ANESTHESIA GROUP PLLC
Practice address
830 Rockford St
Mount Airy, NC 27030-5322
Phone
(336) 719-7000
Fax
(828) 398-5223
NPI assigned
Mar 17, 2009
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Kenneth Raynor Ellington, MD
Title
President
Phone
(864) 576-2073

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

830 Rockford St
Mount Airy, NC 27030-5322

Mailing address

PO Box 2297
Asheville, NC 28802-2297
Phone (828) 210-9386

National Provider Directory

National Provider Directory

Locations

724 Thomas St
Asheboro, NC 27203
Phone (336) 308-0155

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1497996672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2297",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288022297",
            "telephone_number": "828-210-9386",
            "fax_number": "828-210-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305322",
            "telephone_number": "336-719-7000",
            "fax_number": "828-398-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ANESTHESIA GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAYNOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-576-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.