Carolina Family Medicine & Wellness

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

9900793 Issued in NC

Legal business name

CAROLINA FAMILY MEDICINE & WELLNESS

Practice address

478 Williamson Rd.
Suite B
Mooresville, NC 27117-9109

Phone

(704) 662-3627

Fax

(704) 662-3229

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Alissandro R Castillo, M.D.NPI 1023096211

Title

Medical Director

Phone

(704) 662-3627

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CFMW, Inc. Other name

Practitioners 2

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

• Alissandro Roque Castillo, MD, MBA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1023096211
  NPD (past) Authorized official
• Rebecca Appleton Castillo, MD

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1093793283
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912969106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 WILLIAMSON RD.",
            "address_2": "SUITE B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "271179109",
            "telephone_number": "704-662-3627",
            "fax_number": "704-662-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 WILLIAMSON RD.",
            "address_2": "SUITE B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "271179109",
            "telephone_number": "704-662-3627",
            "fax_number": "704-662-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY MEDICINE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ALISSANDRO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-662-3627",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "9900793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015VY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "015VY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFMW, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carillon Assisted Living of Mooresville LLC
• Rawson A Carlin, LPC, LCAS, NCC, MAC
• Sarah Hollyn Carlock, MD
• Carolina Care at Home LLC
• Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.
• Carolina Foot & Ankle of Huntersville, PC
• Carolina Hearing and Tinnitus, PC
• Carolina Pain and Weight Loss
• Carolina Spine & Pain Center, PLLC
• Carolina Vascular Specialists, PA

• Preferred Provider Organization in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.