Active NPI
Tenet Central Carolina Physicians Inc
- Internal Medicine Physician
- Sanford, NC
National Provider Identifier
1992787832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TENET CENTRAL CAROLINA PHYSICIANS INC
- Doing business as
- Carolina Internal Medicine
- Practice address
- 4546 Hwy 87 S
Sanford, NC 27332 - Phone
- (919) 499-5151
- Fax
- (919) 499-5147
- NPI assigned
- Nov 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig E Sims
- Title
- President
- Phone
- (469) 893-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4546 Hwy 87 S
Sanford, NC 27332
Mailing address
4546 Hwy 87 S
Sanford, NC 27332
Phone (919) 499-5151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900142 | Medicaid | NC | |
| 017NW | Other | NC | BCBS |
| DC7656 | Other | RAILROAD MEDICARE |
Other names 1
- Carolina Internal Medicine
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1992787832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4546 HWY 87 S",
"city": "SANFORD",
"state": "NC",
"postal_code": "27332",
"telephone_number": "919-499-5151",
"fax_number": "919-499-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4546 HWY 87 S",
"city": "SANFORD",
"state": "NC",
"postal_code": "27332",
"telephone_number": "919-499-5151",
"fax_number": "919-499-5147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENET CENTRAL CAROLINA PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-893-2030",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900142",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "017NW",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC7656",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.