NPIMap

Organization Active NPI

Carolina Medicorp Enterprises, LLC

Doing business as Novant Health GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Charlotte, NC
National Provider Identifier
1760950646
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAROLINA MEDICORP ENTERPRISES, LLC
Doing business as
Novant Health GoHealth Urgent Care
Practice address
445 S Kings Dr
Charlotte, NC 28204-3041
Phone
(980) 308-0141
Fax
(980) 308-0140
NPI assigned
Nov 8, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Leea Jeanine Walton
Title
RCS Manager
Phone
(704) 316-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

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 1

  • Novant Health GoHealth Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 32

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 32

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2092549Novant Health Gohealth Urgent Care445 South Kings Drive, Charlotte, NC 28204Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1530 S Providence Rd
Waxhaw, NC 28173
Phone (704) 627-8365

Practitioners & affiliated clinicians

Practitioners 256

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 256

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1760950646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S KINGS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043041",
            "telephone_number": "980-308-0141",
            "fax_number": "980-308-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282105801",
            "country_code": "US",
            "telephone_number": "980-308-0143",
            "fax_number": "980-308-0142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15235 John J Delaney Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772846",
            "country_code": "US",
            "telephone_number": "704-243-8937",
            "fax_number": "704-243-8926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11840 Southmore Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774821",
            "country_code": "US",
            "telephone_number": "980-308-0169",
            "fax_number": "980-308-0173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Highland Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271037107",
            "country_code": "US",
            "telephone_number": "336-441-5569",
            "fax_number": "336-390-1362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Miller St Ste C",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044206",
            "country_code": "US",
            "telephone_number": "336-310-5535",
            "fax_number": "336-310-1183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3163 Gammon Ln",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129052",
            "country_code": "US",
            "telephone_number": "336-310-5571",
            "fax_number": "336-310-5574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13129 S Tryon St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787915",
            "country_code": "US",
            "telephone_number": "980-337-4662",
            "fax_number": "980-337-4658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 Berewick Town Center Dr Ste C&d",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282786733",
            "country_code": "US",
            "telephone_number": "980-337-4652",
            "fax_number": "980-337-4653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 E Independence Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054628",
            "country_code": "US",
            "telephone_number": "704-815-5624",
            "fax_number": "704-815-5621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "794 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272844074",
            "country_code": "US",
            "telephone_number": "336-904-2317",
            "fax_number": "336-443-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Hanes Square Cir",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035514",
            "country_code": "US",
            "telephone_number": "336-441-5569",
            "fax_number": "336-771-1907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9121 Sam Furr Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788235",
            "country_code": "US",
            "telephone_number": "704-324-3590",
            "fax_number": "704-324-3591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1977 Cotton Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272925721",
            "country_code": "US",
            "telephone_number": "336-243-3000",
            "fax_number": "336-243-3012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 Randolph St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273605730",
            "country_code": "US",
            "telephone_number": "336-474-3433",
            "fax_number": "336-474-8165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 Rocky River Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282159592",
            "country_code": "US",
            "telephone_number": "704-316-5281",
            "fax_number": "704-316-5283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Cresthill Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277924",
            "country_code": "US",
            "telephone_number": "704-438-9479",
            "fax_number": "704-438-9478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 Healthcare Loop",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282157069",
            "country_code": "US",
            "telephone_number": "704-316-4513",
            "fax_number": "704-316-2311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Mt Holly Huntersville Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282168644",
            "country_code": "US",
            "telephone_number": "980-302-9304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17078 Nat Bynum Ln Unit 3",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280310507",
            "country_code": "US",
            "telephone_number": "704-324-3975",
            "fax_number": "704-324-3974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2452 Fairlawn Ct",
            "address_purpose": "LOCATION",
            "city": "Winston-Salem",
            "state": "NC",
            "postal_code": "271063884",
            "country_code": "US",
            "telephone_number": "336-443-9910",
            "fax_number": "336-443-9909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7811 N Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063209",
            "country_code": "US",
            "telephone_number": "336-281-5965",
            "fax_number": "336-281-5873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4304 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282092271",
            "country_code": "US",
            "telephone_number": "980-302-9304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8036 Providence Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282770257",
            "country_code": "US",
            "telephone_number": "704-635-6411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Highwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102048",
            "country_code": "US",
            "telephone_number": "743-230-6697",
            "fax_number": "743-230-6698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6610 Old Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280795351",
            "country_code": "US",
            "telephone_number": "704-635-6411",
            "fax_number": "704-635-6412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5303 Poplar Tent Rd Ste 90",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280279720",
            "country_code": "US",
            "telephone_number": "980-866-4493",
            "fax_number": "980-866-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Highwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102048",
            "country_code": "US",
            "telephone_number": "743-230-6697",
            "fax_number": "743-230-6698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Wesley Chapel Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280795243",
            "country_code": "US",
            "telephone_number": "704-635-6411",
            "fax_number": "704-635-6412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8036 Providence Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282770257",
            "country_code": "US",
            "telephone_number": "980-301-8711",
            "fax_number": "980-301-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA MEDICORP ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health GoHealth Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.