Active NPI
Meridian Internal Medicine, P.a.
- Internal Medicine Physician
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2000-01522
- Legal business name
- MERIDIAN INTERNAL MEDICINE, P.A.
- Practice address
- 306 N Cox St
Asheboro, NC 27203-5528 - Phone
- (336) 633-3073
- Fax
- (336) 633-3074
- NPI assigned
- Nov 17, 2009
- 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
- Dr. Caroline C Prochnau, M.D.
- Title
- President/Owner
- Phone
- (336) 633-3073
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2000-01522 | NC | Primary |
Addresses
Primary practice location
306 N Cox St
Asheboro, NC 27203-5528
Mailing address
PO Box 4937
Asheboro, NC 27204-4937
Phone (336) 633-3073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5913593 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2003230 | Meridian Internal Medicine PA | Certificate of waiver | Feb 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
306 N Cox St
Asheboro, NC 27203
Phone (336) 633-3073
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Asheboro, NC
- NPI 1942287354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1912234683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4937",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272044937",
"telephone_number": "336-633-3073",
"fax_number": "336-633-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 N COX ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035528",
"telephone_number": "336-633-3073",
"fax_number": "336-633-3074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN INTERNAL MEDICINE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-17",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "PROCHNAU",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "336-633-3073",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "2000-01522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913593",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.