Active NPI
Central Carolina Access Center
- Nephrology Physician
- Concord, NC
National Provider Identifier
1841521275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CENTRAL CAROLINA ACCESS CENTER
- Practice address
- 425 Copperfield Blvd NE
Concord, NC 28025-2405 - Phone
- (704) 707-0090
- Fax
- (704) 795-9273
- NPI assigned
- Jan 25, 2010
- 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. Nathan A Woolwine, M.D.
- Title
- Medical Director
- Phone
- (704) 707-0090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
425 Copperfield Blvd NE
Concord, NC 28025-2405
Mailing address
425 Copperfield Blvd NE
Concord, NC 28025-2405
Phone (704) 707-0090
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1841521275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252405",
"telephone_number": "704-707-0090",
"fax_number": "704-795-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252405",
"telephone_number": "704-707-0090",
"fax_number": "704-795-9273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CAROLINA ACCESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-25",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "WOOLWINE",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "704-707-0090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.