Carolina Internal Medicine Associates, PA
Organization Active NPI Internal Medicine Physician · Marion, NC
NPI 1912416231 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1912416231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CAROLINA INTERNAL MEDICINE ASSOCIATES, PA
- Practice address
- 20 S Medical CT
Marion, NC 28752-4972 - Phone
- (828) 258-0397
- Fax
- (828) 258-3390
- NPI assigned
- Sep 29, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINA INTERNAL MEDICINE ASSOCIATES, PA
Authorized official
- Name
- Janet Woodall
- Title
- Credentialing Manager
- Phone
- (828) 258-0397
Other NPIs on the same Medicare enrollment 2
Practitioners 1
-
Joshua Keegan Cox, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Carolina Int Medical P
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | NC | Yes |
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
- Timshel Medical
Other providers in Marion, NC
- Anna Caparaso
- Carenet, Inc.
- Carepartners HHA, LLLP
- Caresouth HHA Holdings of Western Carolina, LLC
- Jessi Jonquil Carlin
- Carolina Mountain Emergency Medicine PA
- Carolina Residential Services, Inc
- Carolina Spine & Neurosurgery Center PA
- William Carter
- Jeffrey Carver
All providers in Marion, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.