NPIMap

Organization Active NPI

Carolina Healthcare Associates, Inc.

Doing business as Morgan Internal Medicine

  • Internal Medicine Physician
  • Leland, NC
National Provider Identifier
1952631491
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAROLINA HEALTHCARE ASSOCIATES, INC.
Doing business as
Morgan Internal Medicine
Practice address
1333 S Dickinson Dr
Suite 240
Leland, NC 28451-6430
Phone
(910) 332-0241
Fax
(910) 332-0246
NPI assigned
Jan 6, 2010
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA HEALTHCARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Daniel Eugene Goodwin
Title
Vice President
Phone
(910) 667-7597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1333 S Dickinson Dr
Suite 240
Leland, NC 28451-6430

Mailing address

PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 332-0241

Other identifiers 2

IdentifierTypeStateIssuer
5914202MedicaidNC
1952631491MedicaidNC

Other names 1

  • Morgan Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Carolina Healthcare Ass

Locations

1333 S Dickinson Dr
Unit 240
Leland, NC 28451
Phone (910) 332-0241

Practitioners & affiliated clinicians

Practitioners 8

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1952631491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602484",
            "telephone_number": "910-332-0241",
            "fax_number": "910-332-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S DICKINSON DR",
            "address_2": "SUITE 240",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516430",
            "telephone_number": "910-332-0241",
            "fax_number": "910-332-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
        "enumeration_date": "2010-01-06",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-667-7597"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914202",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952631491",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.