Organization Active NPI

Carolina Medicine, P.C.

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1780621029
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLINA MEDICINE, P.C.
Practice address
310 Court Square
Sanford, NC 28330-5657
Phone
(919) 718-5705
Fax
(919) 777-7248
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Ms. Robin Andrea Whitten, PAC
Title
Owner
Phone
(919) 718-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

310 Court Square
Sanford, NC 28330-5657

Mailing address

310 Court Square
Sanford, NC 28330-5657
Phone (919) 718-5705

Other identifiers 2

IdentifierTypeStateIssuer
5909263MedicaidNC
8913246MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Carolina Medicine PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1780621029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COURT SQUARE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "283305657",
            "telephone_number": "919-718-5705",
            "fax_number": "919-777-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COURT SQUARE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "283305657",
            "telephone_number": "919-718-5705",
            "fax_number": "919-777-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-718-5705",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909263",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.