Carolina Spine and Disc Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9401064 Issued in NC

Legal business name

CAROLINA SPINE AND DISC CENTER

Practice address

11618 US Hwy 70 W
Suite 100
Clayton, NC 27520-2275

Phone

(919) 373-2000

Fax

(919) 373-2200

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Paul Talerico, M.D.

Title

Owner

Phone

(919) 373-2000

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9643/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Renee Sebastian Smith, PTA

  • Physical Therapy Assistant
  • Clayton, NC
  • NPI 1063430759
  NPD
• Stephanie Michelle Moore

  • Physical Therapy Assistant
  • Clayton, NC
  • NPI 1609371285
  NPD (past)
• Lauren Topolski, PTA

  • Physical Therapy Assistant
  • Clayton, NC
  • NPI 1336542414
  NPD (past)

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1851719397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 US HWY 70 W",
            "address_2": "SUITE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202275",
            "telephone_number": "919-373-2000",
            "fax_number": "919-373-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US HWY 70 W",
            "address_2": "SUITE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202275",
            "telephone_number": "919-373-2000",
            "fax_number": "919-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINE AND DISC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "TALERICO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-373-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Chiropractic Clinic, PC
• Carolina Decompression and Physical Therapy LLC
• Carolina Dermatology and Endocrinology, PA
• Carolina Foot Specialists
• Carolina Outreach, LLC
• David G Caron, LPA
• Luz Maria Carrasquillo
• Heather Marie Carreon, RN, IBCLC
• Rebeca Carro
• Craig Steven Carter, MD

• Family Medicine Physician in Clayton, NC
• Providers in Clayton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.