Carolina Clinic for Digestive Diseases

Primary specialty

SpecialistTaxonomy code 174400000X

License

33956 Issued in NC

Legal business name

CAROLINA CLINIC FOR DIGESTIVE DISEASES

Practice address

1040 X Ray Dr
Ste B
Gastonia, NC 28054-5438

Phone

(704) 854-9990

Fax

(704) 854-9045

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

William Caddick, M.D.

Title

President

Phone

(704) 854-9990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700965902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 X RAY DR",
            "address_2": "STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545438",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 X RAY DR",
            "address_2": "STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545438",
            "telephone_number": "704-854-9990",
            "fax_number": "704-854-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CLINIC FOR DIGESTIVE DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADDICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-854-9990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "33956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Carnes, LPCA
• Carolina Behavioral Health Solutions
• Carolina Care Connect, LLC
• Carolina Center for Counseling & Clinical Services, Inc.
• Carolina Chiropractic Group of Gastonia PLLC
• Carolina Community Services
• Carolina Crisis Support
• Carolina Digestive Diseases Center, PC
• Carolina Family Network & Therapeutic SVC
• Carolina Home Care Solutions, Inc

• Specialist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Specialist in North Carolina

• 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.