Carolina Center for Pain P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

9801061 Issued in NC

Legal business name

CAROLINA CENTER FOR PAIN P A

Practice address

293 Olmsted Blvd Ste 4
Pinehurst, NC 28374-9023

Phone

(910) 295-3200

Fax

(910) 295-3222

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Stephanie Hendrix

Title

Receptionist

Phone

(910) 295-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Elizabeth Wiedeman, NP AND RN

  • Psychiatric/Mental Health Registered Nurse
  • Enterprise, OR
  • NPI 1255596607
  NPD
• Jens Kersten Palmer, ANP-C

  • Adult Health Nurse Practitioner
  • Pinehurst, NC
  • NPI 1063638435
  NPD (past)
• James E Taylor, MD

  • Anesthesiology Physician
  • Pinehurst, NC
  • NPI 1417990094
  NPD (past)
• Aikya F Waldo, MD

  • Anesthesiology Physician
  • Laurinburg, NC
  • NPI 1568403541
  NPD (past)
• Jill Marie Hilburger, M.D

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1235186909
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1760413355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 OLMSTED BLVD STE 4",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749023",
            "telephone_number": "910-295-3200",
            "fax_number": "910-295-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 OLMSTED BLVD STE 4",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749023",
            "telephone_number": "910-295-3200",
            "fax_number": "910-295-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR PAIN P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "910-295-3200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9801061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911783",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "011U1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burma Garner Cardwell, ORTHOTIST
• Alexandra Whitney Carlton, PA
• Vivian Peitz Carlyle, RN
• Carolina Behavioral Care
• Carolina Behavioral Care, PA
• Carolina Regional Anesthesia PLLC
• Carolina Skin Care, PA
• Ashley B Carpenter, REGISTERED DIETICIAN
• Harley Carpenter
• Eduvigis Carrera, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.