Organization Active NPI

Carolina Cardiology Associates, PA

  • Cardiovascular Disease Physician
  • High Point, NC
National Provider Identifier
1619936952
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAROLINA CARDIOLOGY ASSOCIATES, PA
Practice address
306 Westwood Ave
Suite 401
High Point, NC 27262-4341
Phone
(336) 885-6168
Fax
(336) 885-0909
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Mr. Jim R. Hodge
Title
Practice Administator
Phone
(336) 885-6168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X NC Primary

Addresses

Primary practice location

306 Westwood Ave
Suite 401
High Point, NC 27262-4341

Mailing address

306 Westwood Ave
Suite 401
High Point, NC 27262-4341
Phone (336) 885-6168

Other identifiers 1

IdentifierTypeStateIssuer
8901831MedicaidNC

National Provider Directory

National Provider Directory

Locations

208 Foust St
Ste A
Asheboro, NC 27203
Phone (336) 318-1304

222 Broad St
Kernersville, NC 27284
Phone (336) 885-6168

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1619936952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD AVE",
            "address_2": "SUITE 401",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624341",
            "telephone_number": "336-885-6168",
            "fax_number": "336-885-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD AVE",
            "address_2": "SUITE 401",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624341",
            "telephone_number": "336-885-6168",
            "fax_number": "336-885-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTATOR",
        "authorized_official_telephone_number": "336-885-6168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901831",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.