Carolina Center for Restorative Medicine

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

36330 Issued in NC

Legal business name

CAROLINA CENTER FOR RESTORATIVE MEDICINE

Practice address

809 Spring Forest Rd
Suite 100
Raleigh, NC 27609-9198

Phone

(919) 803-4268

Fax

(919) 977-1381

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Stephenia Benita Jeffries

Title

Practice Manager

Phone

(919) 803-4268

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Patsy Foster Daniels, MD

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1255394409
  NPD (past)
• Martha G Peck, M.D.

  • Family Medicine Physician
  • Morrisville, NC
  • NPI 1942420906
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1659815140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SPRING FOREST RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099700",
            "telephone_number": "919-803-4268",
            "fax_number": "919-977-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SPRING FOREST RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099198",
            "telephone_number": "919-803-4268",
            "fax_number": "919-977-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR RESTORATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "STEPHENIA",
        "authorized_official_middle_name": "BENITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-803-4268",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NC",
            "license": "36330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923469",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23469",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Care & Counseling Inc.
• Carolina Care Providers Inc (Home Health Care Agency)
• Carolina Care Transportation LLC
• Carolina Cataract & Laser Center P a
• Carolina Center for Integrative Medicine
• Carolina Chirocare and Rehab Inc.
• Carolina Choice, LLC
• Carolina Colorectal Surgery, PC
• Carolina Community Mental Health Centers, Inc
• Carolina Comprehensive Service, LLC

• Preventive Medicine/Occupational Environmental Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.