Carolinas Physicians Network Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

The Sanger Clinic

Practice address

200 Hospital Ave
Suite 200
Jefferson, NC 28640-9244

Phone

(336) 846-8334

Fax

(336) 846-8339

NPI assigned

Mar 25, 2010

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

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

Authorized official

Name

Daniel L Wiens

Title

Senior Vice President Operations

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other names 1

• The Sanger Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physician Network Inc

Locations

Practitioners 2

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.

• Jennifer Lepors Harris, NP

  • Nurse Practitioner
  • Huntersville, NC
  • NPI 1922138551
  NPD
• Ann J. Homa, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1881242253
  NPD

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1871817403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600122",
            "telephone_number": "336-846-8334",
            "fax_number": "336-846-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "SUITE 200",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-8334",
            "fax_number": "336-846-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2010-03-25",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Michael Byrd, LCSW, LCAS
• Ethelin Camille Cammock, MD
• Christopher Darrell Campbell, M. D.
• Daniel Caputo, P.A.
• Fabiola Coromoto Cardozo Gallagher, MD
• Charles W Jones MD PA
• Charles W Jones MD PA Endoscopy Suite
• Charles W Jones MD PA Endoscopy Unit (Charles W Jones MD PA)
• Chauncey B Santos MD PC
• Cathy Griffitts Clark, FNP

• Cardiovascular Disease Physician in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.