Carolina Comprehensive Health

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

0010-04910 Issued in NC

Legal business name

CAROLINA COMPREHENSIVE HEALTH

Practice address

4654 Long Beach Rd SE
Southport, NC 28461-8799

Phone

(910) 457-9564

Fax

(910) 457-6744

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Debbie Evans

Title

Practice Manager

Phone

(910) 457-9564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1922414754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618799",
            "telephone_number": "910-457-9564",
            "fax_number": "910-457-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618799",
            "telephone_number": "910-457-9564",
            "fax_number": "910-457-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPREHENSIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-457-9564"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "0010-04910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Anna Candelaria, MSPT
• Lauren Cannon Durham, CNP
• Amanda Carey, PA-C
• Carillon Assisted Living of Southport
• William D Carmichael, DDS
• Carolina Healthcare Associates Inc
• Carolina Healthcare Associates, Inc.
• Carolina Healthcare Products, Inc
• Carolina Manual Therapy LLC
• Carolina Strong Physical Therapy, LLC

• Urgent Care Clinic/Center in Southport, NC
• Providers in Southport, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.