Organization Active NPI

Carolina Internal Medicine Associates, PA

Doing business as Timshel Medical

  • Internal Medicine Physician
  • Marion, NC
National Provider Identifier
1912416231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA INTERNAL MEDICINE ASSOCIATES, PA
Doing business as
Timshel Medical
Practice address
20 S Medical CT
Marion, NC 28752-4972
Phone
(828) 258-0397
Fax
(828) 258-3390
NPI assigned
Sep 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA INTERNAL MEDICINE ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Janet Woodall
Title
Credentialing Manager
Phone
(828) 258-0397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NC Primary

Addresses

Primary practice location

20 S Medical CT
Marion, NC 28752-4972

Mailing address

20 S Medical CT
Marion, NC 28752-4972
Phone (828) 258-0397

Other names 1

  • Timshel Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001069 NC Part B Supplier - Clinic/Group Practice 8426034422 Receives reassigned benefits from 28 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Asheville, NC; Clyde, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Carolina Int Med Asoc-Lab

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912416231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S MEDICAL CT",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524972",
            "telephone_number": "828-258-0397",
            "fax_number": "828-258-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MEDICAL CT",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524972",
            "telephone_number": "828-258-0397",
            "fax_number": "828-258-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERNAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA INTERNAL MEDICINE ASSOCIATES, PA",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "828-258-0397"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timshel Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.