Active NPI
Carolinas Physicians Network Inc
- Hematology & Oncology Physician
- Matthews, NC
National Provider Identifier
1700196409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Doing business as
- Carolinas Cancer Care
- Practice address
- 1401 Matthews Township Pkwy Ste 208
Matthews, NC 28105-5403 - Phone
- (704) 321-1002
- NPI assigned
- Oct 15, 2010
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Ford Laymon
- Title
- Senior Vice President
- Phone
- (704) 446-8250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
1401 Matthews Township Pkwy Ste 208
Matthews, NC 28105-5403
Mailing address
PO Box 602148
Charlotte, NC 28260-2148
Phone (704) 321-1002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700196409 | Medicaid | NC | |
| 5916360 | Medicaid | NC |
Other names 1
- Carolinas Cancer Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Cotswold Urgent Care
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Oncology Physician
- Monroe, NC
- NPI 1598717829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524700800000",
"number": "1700196409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602148",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602148",
"telephone_number": "704-321-1002",
"fax_number": "704-321-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 208",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055403",
"telephone_number": "704-321-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2010-10-15",
"last_updated": "2018-04-26",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "FORD",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "704-446-8250",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700196409",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5916360",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolinas Cancer Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carolinas Cancer Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Matthews, NC
- Carolinas Physician 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.
- Caroline a Cotto LCSW Lcas PLLC
- Sarah Caron, LCSWA
- Tamra Carpenter, LMFTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.