Organization Active NPI

Carolina Anti Aging and Neuropathy, PLLC

  • Multi-Specialty Clinic/Center
  • Shelby, NC
National Provider Identifier
1831530773
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CAROLINA ANTI AGING AND NEUROPATHY, PLLC
Practice address
1920 E Marion St
Shelby, NC 28152-6219
Phone
(704) 284-6001
Fax
(704) 471-9890
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Ms. Debra D. Powell, PA-C
Title
Owner
Phone
(704) 822-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1920 E Marion St
Shelby, NC 28152-6219

Mailing address

7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679
Phone (704) 601-4968

National Provider Directory

National Provider Directory
Tax ID family
Carolina Anti Aging and Neuropathy PLLC2 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": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1831530773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377679",
            "telephone_number": "704-601-4968",
            "fax_number": "704-822-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E MARION ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526219",
            "telephone_number": "704-284-6001",
            "fax_number": "704-471-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ANTI AGING AND NEUROPATHY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-822-5433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.