Carolina Physician Care PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CAROLINA PHYSICIAN CARE PLLC

Practice address

201 E Grover St
Shelby, NC 28150-3917

Phone

(704) 472-8789

Fax

(828) 891-4069

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By 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

Dr. Johnson H Kelly, MDNPI 1043223480

Title

Owner

Phone

(704) 472-8789

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Johnson H Kelly, M.D.

  • Urology Physician
  • Shelby, NC
  • NPI 1043223480
  Authorized official Same address or phone

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1669778403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689",
            "telephone_number": "828-891-5524",
            "fax_number": "828-891-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503917",
            "telephone_number": "704-472-8789",
            "fax_number": "828-891-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PHYSICIAN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-472-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Anti Aging and Neuropathy, PLLC
• Carolina Chiropractic Group PLLC
• Carolina Chiropractic Plus of Cleveland County Inc
• Carolina Foot and Ankle, P.a.
• Carolina Pain Care PC
• Carolina Pulmonary and Comprehensive Sleep Center
• Carolina Services of North Carolina, LLC
• Carolinas Emergency Physicians, P.a.
• Carolinas Medical Center at Home, LLC (Atrium Health At Home Cleveland)
• Carolinas Medical Center at Home, LLC (Atrium Health At Home HME Cleveland)

• General Practice Physician in Shelby, NC
• Providers in Shelby, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.