Active NPI
Carla Clewis Polston, RN
- Registered Nurse
- Laurinburg, NC
National Provider Identifier
1649646530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 202657
- Practice address
- 11561 Hooper Dr
Laurinburg, NC 28352-7745 - Phone
- (910) 276-9176
- NPI assigned
- Aug 14, 2015
- Last updated
- Sep 29, 2026
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 202657 | NC | Primary |
Addresses
Primary practice location
11561 Hooper Dr
Laurinburg, NC 28352-7745
Mailing address
11561 Hooper Dr
Laurinburg, NC 28352-7745
Phone (910) 276-9176
Other names 1
- Miss Carla Dawn Clewis
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202657 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1649646530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11561 HOOPER DR",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283527745",
"telephone_number": "910-276-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11561 HOOPER DR",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283527745",
"telephone_number": "910-276-9176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSTON",
"first_name": "CARLA",
"middle_name": "CLEWIS",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "202657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "CLEWIS",
"middle_name": "DAWN",
"prefix": "MISS",
"credential": "ETC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Laurinburg, NC
- Pinehurst Medical Clinic Inc (Lumber River Cardiology)
- Pinehurst Surgical Clinic PA
- Pinnacle Community Supportive Services
- Pinnacle Family Services of North Carolina LLC
- Plummer Ray Chavis, DDS, P.a.
- Jena Porter, PHARMD
- Barbara Deaonna Powe, MSN FNP-C
- Preferred Mobile Imaging
- Presbyterian Homes Inc (Scotia Village)
- Susanne Honeycutt Presley, DNP, APRN, CPNP-PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.