Active NPI
Carolina Express Care
- Medical Physician Assistant
- Knightdale, NC
National Provider Identifier
1891739678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 101583
- Legal business name
- CAROLINA EXPRESS CARE
- Practice address
- 502 McKnight Dr
Knightdale, NC 27545-7050 - Phone
- (919) 217-1411
- Fax
- (919) 217-3084
- NPI assigned
- Jun 15, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale E. White, PA
- Title
- Owner
- Phone
- (919) 217-1411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 101583 | NC | Primary |
Addresses
Primary practice location
502 McKnight Dr
Knightdale, NC 27545-7050
Mailing address
502 McKnight Dr
Knightdale, NC 27545-7050
Phone (919) 217-1411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013YJ | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
535 W Gannon Ave
#1
Zebulon, NC 27597
Phone (919) 269-8331
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Raleigh, NC
- NPI 1700096161
-
- Physician Assistant
- Plymouth, NC
- NPI 1073547618
-
- Physician Assistant
- Rolesville, NC
- NPI 1063437135
-
- Family Nurse Practitioner
- Wendell, NC
- NPI 1104854504
-
- Family Nurse Practitioner
- Fuquay Varina, NC
- NPI 1518936426
-
- Physician Assistant
- Rocky Mount, NC
- NPI 1881630044
-
- Family Medicine Physician
- Goldsboro, NC
- NPI 1013945419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891739678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MCKNIGHT DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275457050",
"telephone_number": "919-217-1411",
"fax_number": "919-217-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MCKNIGHT DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275457050",
"telephone_number": "919-217-1411",
"fax_number": "919-217-3084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA EXPRESS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-217-1411",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "101583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013YJ",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
- Care Innovations of North Carolina
- Carillon Assisted Living of Knightdale, LLC
- Caring Heart Home Care, LLC
- Christal Carmichael, LPCA
- Carolina Behavioral Support Services,Inc
- Carolina Spine and Injury PC
- Carolina Staffing & Home Health, Co. Inc.
- Carolina Transport and Mobility LLC
- Ebony P Carpenter, M.,ED.
- Celebration Health Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.