NPIMap

Organization Active NPI

Carolina Wound Care Specialists, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Rocky Mount, NC
National Provider Identifier
1942445762
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
CAROLINA WOUND CARE SPECIALISTS, PLLC
Practice address
101 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400
Phone
(252) 451-6950
Fax
(252) 451-6951
NPI assigned
Dec 8, 2008
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Michael D Crawford, MDNPI 1790781698
Title
Director/Officer
Phone
(252) 450-9173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X NU Primary

Addresses

Primary practice location

101 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400

Mailing address

PO Box 16636
Chapel Hill, NC 27516-6636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090128000209 NC Part B Supplier - Clinic/Group Practice 6204990799 Receives reassigned benefits from 6 practitioners
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

120 Professional Dr
Roanoke Rapids, NC 27870
Phone (252) 535-3028

Practitioners & affiliated clinicians

Practitioners 9

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1942445762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16636",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NASH MEDICAL ARTS MALL",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041400",
            "telephone_number": "252-451-6950",
            "fax_number": "252-451-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA WOUND CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "252-450-9173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.