Individual provider Active NPI

Carole Loughridge, M.D

  • Internal Medicine Physician
  • Mooresville, NC
National Provider Identifier
1699779116
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9300746 Issued in NC
Practice address
930 W Wilson Ave
Mooresville, NC 28117-8811
Phone
(704) 663-7500
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9300746 NC Primary

Addresses

Primary practice location

930 W Wilson Ave
Mooresville, NC 28117-8811

Mailing address

930 W Wilson Ave
Mooresville, NC 28117-8811
Phone (704) 663-7500

Other identifiers 1

IdentifierTypeStateIssuer
8952941MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9300746NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Care PA Internal Medicine CurrentSince Mar 1, 2003 Accepting new patients
Trinity Medical Center P.C. Internal Medicine Past Accepting new patients
Trinity Medical Center P.C. Internal Medicine PastSince Sep 30, 2009 Accepting new patients

Locations

930 W Wilson Ave
Mooresville, NC 28117
Phone (704) 402-3941

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1699779116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W WILSON AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178811",
            "telephone_number": "704-663-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W WILSON AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178811",
            "telephone_number": "704-663-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHRIDGE",
        "first_name": "CAROLE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9300746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.