NPIMap

Organization Active NPI

Carolina Meadows Inc

  • Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1548304538
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAROLINA MEADOWS INC
Practice address
500 Carolina Meadows
Chapel Hill, NC 27517-8471
Phone
(919) 370-7102
Fax
(919) 942-0377
NPI assigned
Feb 16, 2007
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Kevin A McLeod
Title
President and Ceo
Phone
(919) 942-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

500 Carolina Meadows
Chapel Hill, NC 27517-8471

Mailing address

100 Carolina Meadows
Chapel Hill, NC 27517-8510
Phone (919) 942-4014

Other identifiers 3

IdentifierTypeStateIssuer
019V2OtherNCBCBS NC
147M6OtherNCPARTNERS
232130OtherNCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000699 NC Part B Supplier - Clinic/Group Practice 6406940444 Receives reassigned benefits from 10 practitioners
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

500 Carolina Mdws
Chapel Hill, NC 27517
Phone (919) 370-7102

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1548304538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAROLINA MEADOWS",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178510",
            "telephone_number": "919-942-4014",
            "fax_number": "919-929-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAROLINA MEADOWS",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178471",
            "telephone_number": "919-370-7102",
            "fax_number": "919-942-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEADOWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "919-942-4014"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "019V2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "147M6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "232130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.