Carolina Medicorp Enterprises, LLC
Organization Active NPI Urgent Care Clinic/Center · Charlotte, NC
NPI 1760950646 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1760950646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- CAROLINA MEDICORP ENTERPRISES, LLC
- Practice address
- 445 S Kings Dr
Charlotte, NC 28204-3041 - Phone
- (980) 308-0141
- Fax
- (980) 308-0140
- NPI assigned
- Nov 8, 2018
- Organization subpart
- No
Authorized official
- Name
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (704) 316-6081
Other NPIs on the same Medicare enrollment 32
Practitioners 256
-
Brent J Becnel, FNP
-
Tracy Lynn Boetto, FNP
-
Carlos Ramon Bolden, FNP
-
Brittney Marie Brock, APRN
-
Lauren Brooke Brown, FNP
-
William Brown, FNP-C
-
Sarah Jane Bruce, MSPA, PA-C
-
Lisa K. Burke, MD
-
Courtney Nicole Coombe, FNP-BC
-
David Owen Cress, FNP
-
Alyssa Jarvis Dias, FNP
-
Mary Ann Daly England, FNP-BC
-
Joshua Fleming, DNP-FNP
-
Sarah Gaskin, PA-C
-
April Bolton Gentry, PA-C
-
Sarita Guglani, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2092549 | Novant Health Gohealth Urgent Care | Certificate of waiver | Jan 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040110000190 | NC | Part B Supplier - Clinic/Group Practice | 0648174904 |
Receives reassigned benefits from 249 practitioners 32 other NPIs on this enrollment Practice locations: Cornelius, NC; Greensboro, NC; High Point, NC; Huntersville, NC; Indian Trail, NC; Kernersville, NC; Lexington, NC; Matthews, NC… |
National Provider Directory
Locations
3500 Mt Holly Huntersville Rd
Charlotte, NC 28216
Phone (704) 399-7800
1302 Wesley Chapel Rd
Ste A
Indian Trail, NC 28079
Phone (704) 635-6411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
445 S Kings Dr
Charlotte, NC 28204-3041
Mailing address
PO Box 601843
Charlotte, NC 28260-1843
Other practice location 1
8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143
Other practice location 2
15235 John J Delaney Dr Ste B
Charlotte, NC 28277-2846
Phone (704) 243-8937
Other practice location 3
11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821
Phone (980) 308-0169
Other practice location 4
600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (336) 441-5569
Other practice location 5
50 Miller St Ste C
Winston Salem, NC 27104-4206
Phone (336) 310-5535
Other practice location 6
3163 Gammon Ln
Clemmons, NC 27012-9052
Phone (336) 310-5571
Other practice location 7
13129 S Tryon St Ste 120
Charlotte, NC 28278-7915
Phone (980) 337-4662
Other practice location 8
4815 Berewick Town Center Dr Ste C&d
Charlotte, NC 28278-6733
Phone (980) 337-4652
Other practice location 9
9600 E Independence Blvd Ste B
Matthews, NC 28105-4628
Phone (704) 815-5624
Other practice location 10
794 S Main St Ste B
Kernersville, NC 27284-4074
Phone (336) 904-2317
Other practice location 11
105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569
Other practice location 12
9121 Sam Furr Rd Ste 108
Huntersville, NC 28078-8235
Phone (704) 324-3590
Other practice location 13
1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 243-3000
Other practice location 14
1122 Randolph St Ste 110
Thomasville, NC 27360-5730
Phone (336) 474-3433
Other practice location 15
9550 Rocky River Rd Ste 150
Charlotte, NC 28215-9592
Phone (704) 316-5281
Other practice location 16
11300 Cresthill Dr Ste 120
Mint Hill, NC 28227-7924
Phone (704) 438-9479
Other practice location 17
8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone (704) 316-4513
Other practice location 18
3500 Mt Holly Huntersville Rd
Charlotte, NC 28216-8644
Phone (980) 302-9304
Other practice location 19
17078 Nat Bynum Ln Unit 3
Cornelius, NC 28031-0507
Phone (704) 324-3975
Other practice location 20
2452 Fairlawn Ct
Winston-Salem, NC 27106-3884
Phone (336) 443-9910
Other practice location 21
7811 N Point Blvd
Winston Salem, NC 27106-3209
Phone (336) 281-5965
Other practice location 22
4304 Park Rd
Charlotte, NC 28209-2271
Phone (980) 302-9304
Other practice location 23
8036 Providence Rd Ste 100
Charlotte, NC 28277-0257
Phone (704) 635-6411
Other practice location 24
1600 Highwoods Blvd
Greensboro, NC 27410-2048
Phone (743) 230-6697
Other practice location 25
6610 Old Monroe Rd
Indian Trail, NC 28079-5351
Phone (704) 635-6411
Other practice location 26
5303 Poplar Tent Rd Ste 90
Concord, NC 28027-9720
Phone (980) 866-4493
Other practice location 27
1600 Highwoods Blvd
Greensboro, NC 27410-2048
Phone (743) 230-6697
Other practice location 28
1302 Wesley Chapel Rd Ste A
Indian Trail, NC 28079-5243
Phone (704) 635-6411
Other practice location 29
8036 Providence Rd Ste 100
Charlotte, NC 28277-0257
Phone (980) 301-8711
Other names
- Novant Health GoHealth Urgent Care
Other providers in Charlotte, NC
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- Carolina Medicorp Enterprises, Inc.
- Carolina Medicorp Enterprises, Inc.
- Carolina Neurobehavioral Service
- Carolina Neurological Clinic, PA
- Carolina Neuropathy Centers, PLLC
- Carolina Neurosurgery & Spine Associates PA
- Carolina Neurosurgery & Spine Associates, PA
All providers in Charlotte, NC · Urgent Care Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.