Carolinas Physicians Network, Inc
Organization Active NPI Family Medicine Physician · Belmont, NC
NPI 1780077099 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1780077099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK, INC
- Practice address
- 420 Park St
Suite 105a
Belmont, NC 28012-3393 - Phone
- (704) 631-1820
- NPI assigned
- Mar 11, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK, INC
Authorized official
- Name
- Miss Thomas Ford Laymon
- Title
- SVP
- Phone
- (704) 631-0002
Member of 19
Practitioners 5
-
Jonathan Cohen, PA
-
Amanda Robinson, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000819 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 2,518 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
420 Park St
Suite 105a
Belmont, NC 28012-3393
Mailing address
PO Box 602148
Charlotte, NC 28260-2148
Phone (704) 631-1820
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780077099 | Medicaid | NC | |
| 1780077099 | Other | NC | MEDICAID DME |
Other providers in Belmont, NC
- Carolina Orthopaedic & Sports Medicine Center PA
- Carolina Wellness Solutions Counseling and Consulting PLLC
- Carolinas Counseling & Consulting, LLC
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Caromont Health Services, Inc.
- Caromont Health Services, Inc.
- Caromont Medical Group Inc
- Caromont Medical Group Inc
- Caromont Medical Group Inc
All providers in Belmont, NC · Family Medicine Physician 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 Aug 9, 2016. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.