Active NPI
Carol M Wadon, M.D.
- Neurological Surgery Physician
- Pinehurst, NC
National Provider Identifier
1619073590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 37968
- Practice address
- 5 First VLG
Pinehurst, NC 28374-8724 - Phone
- (910) 295-0215
- Fax
- (910) 295-0218
- NPI assigned
- Sep 16, 2006
- Last updated
- Nov 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 37968 | NC | Primary |
Addresses
Primary practice location
5 First VLG
Pinehurst, NC 28374-8724
Mailing address
PO Box 9788
Belfast, ME 04915-9788
Phone (910) 295-0215
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8985166 | Medicaid | NC | |
| FH2967595 | Other | NC | FIRSTCAROLINA CARE |
| 85166 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37968 | NC | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Neurosurgical Services, P.a. | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Fayetteville, NC
- NPI 1649376898
Neurological Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1619073590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9788",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159788",
"telephone_number": "910-295-0215",
"fax_number": "910-215-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIRST VLG",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748724",
"telephone_number": "910-295-0215",
"fax_number": "910-295-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADON",
"first_name": "CAROL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "37968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8985166",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCAROLINA CARE",
"identifier": "FH2967595",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "85166",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.