Carolina Medical Specialties, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

01069 Issued in NC

Legal business name

CAROLINA MEDICAL SPECIALTIES, INC.

Practice address

1111 1/2 Bragg Blvd
Fayetteville, NC 28301-4513

Phone

(910) 485-0500

Fax

(910) 485-2060

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dimitri K. Sleem

Title

Director

Phone

(910) 485-0500

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1609944024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53277",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053277",
            "telephone_number": "910-485-0500",
            "fax_number": "910-485-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 1/2 BRAGG BLVD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014513",
            "telephone_number": "910-485-0500",
            "fax_number": "910-485-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "SLEEM",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-485-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "01069",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "01069",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "01069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704467",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Hope Behavioral Health LLC
• Carolina Imaging LLC of Fayetteville
• Carolina Imaging LLC of Fayetteville
• Carolina Imaging LLC of Fayetteville (Carolina Imaging-Ramsey)
• Carolina Kidney Care, PA
• Carolina Medical Supplies, Inc.
• Carolina Neurology Associates, PLLC
• Carolina Neurosurgical Services, P.a.
• Carolina Optical Partners (carolina optical shop sanford)
• Carolina Optical Partners (carolina optical shop)

• Customized Equipment (DME) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.