Individual provider Active NPI

Carie M Brown, FNP-C

  • Family Nurse Practitioner
  • Kenansville, NC
National Provider Identifier
1750849758
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011551 Issued in NC
Practice address
102 N Main Street
Suite 2
Kenansville, NC 28349
Phone
(910) 335-2360
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011551 NC Primary

Addresses

Primary practice location

102 N Main Street
Suite 2
Kenansville, NC 28349

Mailing address

PO Box 893
Mount Olive, NC 28365-0893
Phone (919) 333-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812002641 NC Practitioner - Nurse Practitioner 8921335068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Olive Family Medicine Center Inc 10 clinicians

Practice addresses (Care Compare)

201 N Breazeale Ave
Mount Olive, NC 28365-1603
Phone (919) 658-4954

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Goldsboro, NC, CCN 347331
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011551NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Olive Family Medicine Center Inc CurrentSince Jan 1, 2023 Accepting new patients
Goshen Medical Center Incorporated CurrentSince May 22, 2019 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince May 22, 2019 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

102 Main St
Ste 2
Kenansville, NC 28349
Phone (910) 275-0195

102 Main St
Kenansville, NC 28349
Phone (910) 296-1087

201 N Breazeale Ave
Mount Olive, NC 28365
Phone (919) 658-4954

102 Southern Ave
Raeford, NC 28376
Phone (910) 248-4600

Interoperability endpoints

  • Direct secure messaging: carieb@goshenmedical.cloudcraftdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1750849758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283650893",
            "telephone_number": "919-333-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN STREET",
            "address_2": "SUITE 2",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "28349",
            "telephone_number": "910-335-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CARIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenansville, NC

Sources for this page

Verify at the official NPI Registry.