Carolina Medical Partners PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CAROLINA MEDICAL PARTNERS PLLC

Practice address

1040 Edgewater Corporate Pkwy Ste 104
Fort Mill, SC 29707-4526

Phone

(803) 547-8660

Fax

(803) 650-3880

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Nimish Patel, MDNPI 1710141668

Title

Owner

Phone

(803) 547-8660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• CMP Senior Healthcare LLC

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1891420857
  NPPES parent name

Practitioners 5

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

• Nimish Kantilal Patel, MD

  • Family Medicine Physician
  • Indian Land, SC
  • NPI 1710141668

  Multi-Specialty, NC

  Medicare reassignment Care Compare group NPD Authorized official
• Shephali Nimish Patel, M.D.

  • Family Medicine Physician
  • Indian Land, SC
  • NPI 1538386610

  NC

  Medicare reassignment Care Compare group NPD
• Andrea Blakeman, APRN

  • Community Health Nurse Practitioner
  • Rock Hill, SC
  • NPI 1053954438
  Medicare reassignment NPD
• Megan Blackwelder Keener, NP

  • Family Nurse Practitioner
  • Indian Land, SC
  • NPI 1316607583
  Medicare reassignment NPD
• Heather Elizabeth Shiflett, PA-C

  • Physician Assistant
  • Fort Mill, SC
  • NPI 1619901568
  Medicare reassignment

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1902411077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-547-8660",
            "fax_number": "803-650-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "803-547-8660",
            "fax_number": "803-650-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10535 Flennigan Way",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282771417",
            "country_code": "US",
            "telephone_number": "803-547-8660",
            "fax_number": "803-650-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA MEDICAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-547-8660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Endocrinology & Diabetes, LLC
• Carolina Family Eyecare
• Carolina Integrated Medicine LLC
• Carolina Interventional Pain Associates, P.a (Interventional Pain Partners)
• Carolina Interventional Pain Associates, PA (Pain Medicine Specialists of Fort Mill)
• Carolina Medical Spas PA (Purewellness Spas)
• Carolina Oms LLC
• Carolina Oral & Maxillofacial Surgery
• Carolina Orthopaedic Surgery Associates, P.a.
• Carolina Podiatry Group, Inc.

• Family Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.