Organization Active NPI

Caroline Mawanda PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chelmsford, MA
National Provider Identifier
1861365793
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
CAROLINE MAWANDA PC
Practice address
121 Brick Kiln Rd Ste 216
Chelmsford, MA 01824-3259
Phone
(617) 938-9038
Fax
(617) 398-4942
NPI assigned
Sep 26, 2025
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Caroline N Mawanda, NPNPI 1154821114
Title
Owner
Phone
(617) 938-9038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

121 Brick Kiln Rd Ste 216
Chelmsford, MA 01824-3259

Mailing address

121 Brick Kiln Rd Ste 216
Chelmsford, MA 01824-3259
Phone (617) 938-9038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260313000287 MA Part B Supplier - Clinic/Group Practice 1153804596 Receives reassigned benefits from 1 practitioner
Practice locations: Chelmsford, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2334170Caroline Mawanda PC121 Brick Kiln Rd Suite 216, Chelmsford, MA 01824Certificate of waiverNov 16, 2027

National Provider Directory

National Provider Directory

Locations

121 Brick Kiln Rd
Ste 216
Chelmsford, MA 01824
Phone (617) 938-9038

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1861365793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BRICK KILN RD STE 216",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243259",
            "telephone_number": "617-938-9038",
            "fax_number": "617-398-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BRICK KILN RD STE 216",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243259",
            "telephone_number": "617-938-9038",
            "fax_number": "617-398-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE MAWANDA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "MAWANDA",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-938-9038",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.