Carolinas Physicians Network Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

ProActive Health by Carolinas HealthCare System

Practice address

8840 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277-6718

Phone

(704) 667-2340

NPI assigned

Mar 1, 2017

Last updated

Dec 6, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

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

Authorized official

Name

Thomas Laymon

Title

Senior Vice President

Phone

(704) 446-8250

Specialties & licenses 2

Addresses

Other names 1

• ProActive Health by Carolinas HealthCare System Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physicians Network Inc

Locations

Practitioners 1

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.

• Allen Desena, MD

  • Neurology Physician
  • Charlotte, NC
  • NPI 1770764060
  NPD

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1831639509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776718",
            "telephone_number": "704-667-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-446-8250"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Health by Carolinas HealthCare System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProActive Health by Carolinas HealthCare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (Ardrey Kell Family Medicine)
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• Carolinas Physicians Network Inc (Atrium Health Levine Children's Cotswold Pediatrics)
• Carolinas Physicians Network Inc (Carolinas Cancer Care)
• Carolinas Physicians Network Inc (Atrium Health OB GYN Hospitalist)
• Carolinas Physicians Network Inc (Levine Children's Perspective Health & Wellness)
• Carolinas Physicians Network Inc (Atrium Health Endoscopy Center Kenilworth)
• Carolinas Physicians Network Inc (Atrium Health Weight Management)
• Carolinas Physicians Network Inc (Pediatric Urology Associates)
• Carolinas Physicians Network Inc (Carolinas Palliative Care and Hospice Group)

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.