NPIMap

Organization Active NPI

Carolina Choice LLC

  • Community/Behavioral Health Agency
  • New Bern, NC
National Provider Identifier
1699828087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CAROLINA CHOICE LLC
Practice address
2117 S Glenburnie Rd
Suite 17 & 18
New Bern, NC 28562-2239
Phone
(252) 633-3855
Fax
(252) 633-1548
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marsha Butler
Title
Ceo President
Phone
(252) 633-3855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2117 S Glenburnie Rd
Suite 17 & 18
New Bern, NC 28562-2239

Mailing address

2117 S Glenburnie Rd
Suite 17 & 18
New Bern, NC 28562-2239
Phone (252) 633-3855

Other identifiers 8

IdentifierTypeStateIssuer
6603292MedicaidNC
6603294MedicaidNC
6603380MedicaidNC
8300912MedicaidNC
8301192MedicaidNC
8300485MedicaidNC
8301024MedicaidNC
8300923MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Choice LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

2117 S Glenburnie Rd
Ste 17
New Bern, NC 28562

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699828087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 S GLENBURNIE RD",
            "address_2": "SUITE 17 & 18",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622239",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 S GLENBURNIE RD",
            "address_2": "SUITE 17 & 18",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622239",
            "telephone_number": "252-633-3855",
            "fax_number": "252-633-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "252-633-3855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603292",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603294",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603380",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300912",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301192",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300485",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301024",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300923",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.