Carolinas Physicians Network Inc
Organization Active NPI Family Medicine Physician · Lincolnton, NC
NPI 1679732176 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1679732176
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 3970 W Highway 27
Lincolnton, NC 28092-0710 - Phone
- (704) 748-2245
- NPI assigned
- Jun 9, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Thomas Laymon
- Title
- Senior Vice President
- Phone
- (704) 446-8250
Practitioners 17
-
Richard Botelho, MD
-
Joyce E. Bumgardner, FNP
-
Alyssa N. Dedmon, FNP
-
Linda Jean Martin, FNP
-
Michelle Marie Stowe, M.D.
-
Beth E. Susi, MD
-
Jason L. Glass, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000455 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 1,949 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Locations
4429 W Highway 27
Lincolnton, NC 28092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3970 W Highway 27
Lincolnton, NC 28092-0710
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names
- West Lincoln Family Medicine
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ambulatory@direct.carolinashealthcare.org | Atrium Health |
Other providers in Lincolnton, NC
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network, Inc
- Carolinas Physicians Network, Inc.
- Joshua Trent Carpenter
All providers in Lincolnton, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.