Individual provider Active NPI

Charles Carver, D.O.

  • Gastroenterology Physician
  • Reidsville, NC
National Provider Identifier
1912391533
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
201900450 Issued in NC
Practice address
233 Gilmer St
Reidsville, NC 27320-3809
Phone
(336) 342-6196
Fax
(336) 349-7638
NPI assigned
Mar 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201900450 NC
Gastroenterology Physician 207RG0100X 201900450 NC Primary

Addresses

Primary practice location

233 Gilmer St
Reidsville, NC 27320-3809

Mailing address

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5220

Other practice location 1

621 S Main St Ste 201
Reidsville, NC 27320-5034
Phone (336) 342-6880

Other practice location 2

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625000173 NC Practitioner - Internal Medicine 7719297654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

621 S Main St
Suite 201
Reidsville, NC 27320-5034
Phone (336) 348-6924

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
201900450NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Internal Medicine CurrentSince Jun 21, 2021 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jun 21, 2021 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

233 Gilmer St
Reidsville, NC 27320
Phone (336) 342-6196

621 S Main St
Ste 201
Reidsville, NC 27320
Phone (336) 342-6880

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1912391533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011229",
            "telephone_number": "336-663-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GILMER ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203809",
            "telephone_number": "336-342-6196",
            "fax_number": "336-349-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273205034",
            "country_code": "US",
            "telephone_number": "336-342-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 S Sterling St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554044",
            "country_code": "US",
            "telephone_number": "828-580-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVER",
        "first_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-20",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201900450",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "201900450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.