NPIMap

Organization Active NPI

Carolina Attention Specialists-Greensboro, PLLC

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1699030890
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA ATTENTION SPECIALISTS-GREENSBORO, PLLC
Practice address
3625 N Elm St
Suite 110 a
Greensboro, NC 27455-2604
Phone
(336) 398-5656
Fax
(336) 398-5665
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Charles Thomas Humphries, MD
Title
Owner
Phone
(336) 398-5663

Specialties & licenses 1

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

Addresses

Primary practice location

3625 N Elm St
Suite 110 a
Greensboro, NC 27455-2604

Mailing address

3625 N Elm St
Suite 110 a
Greensboro, NC 27455-2604
Phone (336) 398-5656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1699030890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST",
            "address_2": "SUITE 110 A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "336-398-5656",
            "fax_number": "336-398-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N ELM ST",
            "address_2": "SUITE 110 A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552604",
            "telephone_number": "336-398-5656",
            "fax_number": "336-398-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ATTENTION SPECIALISTS-GREENSBORO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-398-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.