Active NPI
Carolina Urological Associates, P.a.
- Urology Physician
- Kernersville, NC
National Provider Identifier
1841487006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CAROLINA UROLOGICAL ASSOCIATES, P.A.
- Practice address
- 445 Pineview Dr
Suite 230
Kernersville, NC 27284-3817 - Phone
- (336) 993-8863
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth A Albertson, M.D.
- Title
- President
- Phone
- (336) 245-2131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
445 Pineview Dr
Suite 230
Kernersville, NC 27284-3817
Mailing address
445 Pineview Dr
Suite 230
Kernersville, NC 27284-3817
Phone (336) 993-8863
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012C5 | Medicaid | NC | |
| CH9569 | Other | NC | RR MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1841487006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 PINEVIEW DR",
"address_2": "SUITE 230",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843817",
"telephone_number": "336-993-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 PINEVIEW DR",
"address_2": "SUITE 230",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843817",
"telephone_number": "336-993-8863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA UROLOGICAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "ALBERTSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-245-2131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89012C5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CH9569",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
- Shawn William Carey, PT
- Jennifer Carlson-Long, PTA
- Constance Carlton
- Carolina Medicorp Enterprises, Inc (Primce care of Kernersville)
- Carolina Physical Therapy Specialists, Inc
- Kayla Rene' Carpenter, RN, LMBT
- Joel Sergio Carrera, PHARM.D.
- Terry Carter, LCSW
- Trent Grayson Carter, PTA
- Renee Junette Cascen McIntosh, OT/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.