Carolinas Physicians Network Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Personal Health Management

Practice address

1341 E Morehead St Ste 102
Charlotte, NC 28204-2936

Phone

(704) 355-6963

NPI assigned

Aug 5, 2006

Last updated

May 11, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIAN NETWORK, INCAs reported in NPPES

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

Authorized official

Name

Tom Laymon

Title

SVP

Phone

(704) 446-8250

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Personal Health Management Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physicians Network Inc

Practitioners 3

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.

• John Loyle Benedum, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1235144924
  NPD (past)
• Jana Michelle Brooks, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1982695920
  NPD (past)
• Albert D. Hudson, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1467475772
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1932118320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602478",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602478",
            "telephone_number": "704-355-6963",
            "fax_number": "704-355-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 E MOREHEAD ST STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042936",
            "telephone_number": "704-355-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIAN NETWORK, INC",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "LAYMON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "704-446-8250"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2331634D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932118320",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Health Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personal Health Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (Atrium Health Endoscopy Center Ballantyne)
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• Carolinas Physicians Network Inc (Carolinas Palliative Care and Hospice Group)
• Carolinas Physicians Network Inc (Atrium Health Levine Children's Urgent Care)
• Carolinas Physicians Network Inc (Atrium Health LiveWell Care)
• Carolinas Physicians Network Inc (Atrium Health Urgent Care)
• Carolinas Physicians Network Inc (Carolinas Palliative Care and Hospice Group)
• Carolinas Physicians Network Inc (Internal Medicine & Wellness Center)
• Carolinas Physicians Network Inc (Atrium Health Levine Children's School Based Virtual Care)
• Carolinas Physicians Network Inc. (Atrium Health Urgent Care)

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.