Organization Active NPI

Carolina Cardiology Associates, PA

  • Cardiovascular Disease Physician
  • Asheboro, NC
National Provider Identifier
1841341278
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAROLINA CARDIOLOGY ASSOCIATES, PA
Practice address
542 White Oak St
Asheboro, NC 27203-4710
Phone
(336) 629-4176
Fax
(336) 626-6604
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Archie 'Zan' Tyson, M. D.
Title
President
Phone
(336) 629-4176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

542 White Oak St
Asheboro, NC 27203-4710

Mailing address

306 Westwood Ave
Suite 401
High Point, NC 27262-4341
Phone (336) 629-4176

Other identifiers 1

IdentifierTypeStateIssuer
8901831MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1841341278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WESTWOOD AVE",
            "address_2": "SUITE 401",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624341",
            "telephone_number": "336-629-4176",
            "fax_number": "336-626-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 WHITE OAK ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034710",
            "telephone_number": "336-629-4176",
            "fax_number": "336-626-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_middle_name": "'ZAN'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-629-4176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901831",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.