Mid Carolina Radiology Associates PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MID CAROLINA RADIOLOGY ASSOCIATES PA

Doing business as

Mid-Carolina Radiology

Practice address

1135 Carthage St
Sanford, NC 27330-4162

Phone

(919) 777-7092

Fax

(775) 624-9774

NPI assigned

Sep 7, 2006

Last updated

Dec 6, 2024By 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

John W Wittenborn, MDNPI 1720181167

Title

President

Phone

(919) 774-2055

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mid-Carolina Radiology Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 9

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.

• John William Wittenborn, M.D.

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1720181167
  Medicare reassignment Care Compare group NPD Authorized official
• Travis T Henderson, M.D.

  • Diagnostic Radiology Physician
  • Sanford, NC
  • NPI 1679539381
  Medicare reassignment Care Compare group NPD
• Richard Berry Caswell Jr., MD

  • Diagnostic Radiology Physician
  • Sanford, NC
  • NPI 1336153345
  NPD (past)
• William Lee Kozel, MD

  • Diagnostic Radiology Physician
  • Greenville, NC
  • NPI 1598710907
  NPD (past)
• John P Roberson, MD

  • Diagnostic Radiology Physician
  • Pinehurst, NC
  • NPI 1285681106
  NPD (past)
• Jeffrey Smith, MD

  • Diagnostic Radiology Physician
  • Chapel Hill, NC
  • NPI 1447332150
  NPD (past)
• Melinda Martin Dunn, MD

  • Diagnostic Radiology Physician
  • Williamsburg, VA
  • NPI 1376554683
  NPD (past)
• Thomas Maxwell Jamison, MD

  • Diagnostic Radiology Physician
  • Williamsburg, VA
  • NPI 1508877820
  NPD (past)
• Jay E Jones, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1184646499
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1689777245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63367",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633367",
            "telephone_number": "844-825-9300",
            "fax_number": "775-624-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-777-7092",
            "fax_number": "775-624-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CAROLINA RADIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WITTENBORN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-774-2055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02165",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Carolina Radiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-Carolina Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael C. Hattaway
• Michelle F. Moseley, LPC, PLLC
• Mid Carolina Gastroenterology Associates, PA
• Mid Carolina Gastroenterology Associates, PA
• Mid Carolina Primary Care, PA
• Mid Carolina Surgical Clinic PA
• Millenium IV, Inc. (Ashewood Estates)
• Millenium IV, Inc. (Victorian)
• Dana Miller, MA
• Gregory Charles Miller, PA-C

• Diagnostic Radiology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.