NPIMap

Organization Active NPI

Carolinas Physicians Network, Inc.

Doing business as Stanly Long Term Care

  • Geriatric Medicine (Family Medicine) Physician
  • Albemarle, NC
National Provider Identifier
1861896383
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
CAROLINAS PHYSICIANS NETWORK, INC.
Doing business as
Stanly Long Term Care
Practice address
320 Yadkin St
Suite C
Albemarle, NC 28001-3447
Phone
(704) 983-0636
NPI assigned
Oct 13, 2014
Last updated
Feb 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAS PHYSICIANS NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Daniel Leslie Wiens
Title
SVP/Operations CPN
Phone
(704) 986-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

320 Yadkin St
Suite C
Albemarle, NC 28001-3447

Mailing address

PO Box 601888
Charlotte, NC 28260-1888
Phone (704) 986-6307

Other names 1

  • Stanly Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Physician Network Inc135 organizations share this tax ID, including this one
Part of
Carolinas Physician Network Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

320 Yadkin St
Ste C
Albemarle, NC 28001
Phone (704) 983-0636

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1861896383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601888",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601888",
            "telephone_number": "704-986-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 YADKIN ST",
            "address_2": "SUITE C",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013447",
            "telephone_number": "704-983-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK, INC.",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "SVP/OPERATIONS CPN",
        "authorized_official_telephone_number": "704-986-6307"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanly Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.