Organization Active NPI

Carolina Priority Care PLLC

  • Urgent Care Clinic/Center
  • Oak Ridge, NC
National Provider Identifier
1972962363
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAROLINA PRIORITY CARE PLLC
Practice address
8001 Marketplace Dr
Suite a
Oak Ridge, NC 27310-9300
Phone
(336) 392-1915
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Kevin LargenNPI 1609970045
Title
Owner
Phone
(336) 883-6050

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
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

8001 Marketplace Dr
Suite a
Oak Ridge, NC 27310-9300

Mailing address

316 Winrow Dr
Jamestown, NC 27282-8434

Other names 1

  • Carolina Priority Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160930000370 NC Part B Supplier - Clinic/Group Practice 0446547723 Receives reassigned benefits from 19 practitioners
Practice locations: Oak Ridge, NC

National Provider Directory

National Provider Directory

Locations

8001 Marketplace Dr
Ste A
Oak Ridge, NC 27310
Phone (336) 392-1915

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1972962363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WINROW DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MARKETPLACE DR",
            "address_2": "SUITE A",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109300",
            "telephone_number": "336-392-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PRIORITY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "LARGEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-883-6050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Priority Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.