Carolina Neurology Associates, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CAROLINA NEUROLOGY ASSOCIATES, PLLC

Practice address

2500 Village Dr
Suite 102
Fayetteville, NC 28304-3811

Phone

(910) 484-0029

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Venugopal Gadipudi, MDNPI 1073518494

Title

Owner

Phone

(910) 484-0029

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22662/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Venugopal Naidu Gadipudi, M.D.

  • Neurology Physician
  • Fayetteville, NC
  • NPI 1073518494
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1831208867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689",
            "telephone_number": "828-891-5524",
            "fax_number": "828-891-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VILLAGE DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043811",
            "telephone_number": "910-484-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEUROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "GADIPUDI",
        "authorized_official_first_name": "VENUGOPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-484-0029",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE2869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1375A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891375A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Imaging LLC of Fayetteville
• Carolina Imaging LLC of Fayetteville
• Carolina Kidney Care, PA
• Carolina Medical Specialties, Inc.
• Carolina Medical Supplies, Inc.
• Carolina Neurosurgical Services, P.a.
• Carolina Optical Partners
• Carolina Optical Partners
• Carolina Outreach and Care
• Carolina Outreach, LLC

• Neurology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.