Carolina Digestive Diseases Center, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9701094 Issued in NC

Legal business name

CAROLINA DIGESTIVE DISEASES CENTER, PC

Practice address

2682 Court Dr
Suite a
Gastonia, NC 28054-1440

Phone

(704) 823-8885

Fax

(704) 823-8898

NPI assigned

Apr 4, 2007

Last updated

Jan 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Austin Azubike Osemeka, M.D.NPI 1699897249

Title

President

Phone

(704) 823-8885

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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.

• Austin Azubike Osemeka, M.D

  • Specialist
  • Gastonia, NC
  • NPI 1699897249
  Medicare reassignment Care Compare group NPD Authorized official
• Stella Osemeka, NP, APRN

  • Family Nurse Practitioner
  • Gastonia, NC
  • NPI 1508201542
  Medicare reassignment Care Compare group NPD
• Mitzi L Redmond, NP

  • Nurse Practitioner
  • Shelby, NC
  • NPI 1255470662
  Medicare reassignment NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1851413413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 COURT DR",
            "address_2": "SUITE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541440",
            "telephone_number": "704-823-8885",
            "fax_number": "704-823-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 COURT DR",
            "address_2": "SUITE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541440",
            "telephone_number": "704-823-8885",
            "fax_number": "704-823-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIGESTIVE DISEASES CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "OSEMEKA",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "AZUBIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-823-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "9701094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0119E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911078",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Center for Counseling & Clinical Services, Inc.
• Carolina Chiropractic Group of Gastonia PLLC
• Carolina Clinic for Digestive Diseases
• Carolina Community Services
• Carolina Crisis Support
• Carolina Family Network & Therapeutic SVC
• Carolina Home Care Solutions, Inc
• Carolina Mercy Medical Clinic PC
• Carolina Neurological Consulting, PLLC
• Carolina Orthopaedic & Sports Medicine Center PA

• Specialist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.