Organization Active NPI

Tenet Central Carolina Physicians Inc

  • Internal Medicine Physician
  • Sanford, NC
National Provider Identifier
1992787832
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Dec 4, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5900142MedicaidNC
017NWOtherNCBCBS
DC7656OtherRAILROAD MEDICARE

Other names 1

  • Carolina Internal Medicine Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.