NPIMap

Organization Active NPI

Caromed Inc

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1679536643
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200001219986 Issued in NC
Legal business name
CAROMED INC
Practice address
7108 Pineville Matthews Rd
Suite 102
Charlotte, NC 28226-8371
Phone
(704) 542-2191
Fax
(704) 542-4243
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Lynda L. Andrews
Title
Manager
Phone
(704) 542-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 200001219986 NC Primary

Addresses

Primary practice location

7108 Pineville Matthews Rd
Suite 102
Charlotte, NC 28226-8371

Mailing address

7108 Pineville Matthews Rd
Suite 102
Charlotte, NC 28226-8371
Phone (704) 542-2191

Other identifiers 1

IdentifierTypeStateIssuer
0257ROtherNCBLUE CROSS GRP.#

Other names 1

  • Carolina Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070302000487 NC Part B Supplier - Clinic/Group Practice 4587766928 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7108 Pineville Matthews Rd
Ste 102
Charlotte, NC 28226
Phone (704) 342-1900

701 E Roosevelt Blvd
Ste 200A
Monroe, NC 28112
Phone (704) 282-8276

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1679536643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268371",
            "telephone_number": "704-542-2191",
            "fax_number": "704-542-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 PINEVILLE MATTHEWS RD",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268371",
            "telephone_number": "704-542-2191",
            "fax_number": "704-542-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-542-2191"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200001219986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP.#",
            "identifier": "0257R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.