Carolinas Physicians Network, Inc.

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

CAROLINAS PHYSICIANS NETWORK, INC.

Doing business as

Carolinas Sleep Services- Poplar Tent

Practice address

5641 Poplar Tent Rd
Suite 204
Concord, NC 28027-7533

Phone

(704) 510-9900

NPI assigned

Oct 10, 2012

Last updated

May 4, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

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

Authorized official

Name

Tom Ford Laymon

Title

SVP

Phone

(704) 446-8250

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Carolinas Sleep Services- Poplar Tent Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physicians Network Inc

Locations

Practitioners 2

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.

• Kimberly Nicole Mims, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Charlotte, NC
  • NPI 1639359276
  NPD
• Raymond Benjamin Stadiem, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1639332182
  NPD

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1629320916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602699",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 POPLAR TENT RD",
            "address_2": "SUITE 204",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277533",
            "telephone_number": "704-510-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2012-10-10",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "704-446-8250"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629320916",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921897",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Sleep Services- Poplar Tent",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas Sleep Services- Poplar Tent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (Atrium Health Levine Children's Congenital Heart Center)
• Carolinas Physicians Network Inc. (Carolinas Sleep Services- Poplar Tent IDTF)
• Carolinas Physicians Network Inc. (Cabarrus Family Medicine)
• Carolinas Physicians Network, Inc (Cabarrus Family Medicine)
• Carolinas Physicians Network, Inc. (Pediatric Urology Associates)
• Carolinas Sleep Specialists PA
• Carolinas Sleep Specialists, PA
• Kayla Carrigan
• Terry Carriker, R.N.C.
• Diana Carrillo

• Sleep Medicine (Internal Medicine) Physician in Concord, NC
• Providers in Concord, NC by specialty
• Sleep Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.