Carolina Neurology PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

200001134 Issued in NC

Legal business name

CAROLINA NEUROLOGY PA

Practice address

750 Hartness Rd
Ste E
Statesville, NC 28677-3400

Phone

(704) 924-7575

Fax

(704) 924-7877

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Trishwant S Garcha, MDNPI 1184731838

Title

Owner

Phone

(704) 924-7575

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Carolina Neurology Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Neurology East

  • Specialist
  • Mocksville, NC
  • NPI 1013248905
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5786/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Trishwant Singh Garcha, MD

  • Neurology Physician
  • Statesville, NC
  • NPI 1184731838
  Medicare reassignment Authorized official
• Sonya Renae Hardin, RN, PHD, NP-C

  • Adult Health Nurse Practitioner
  • Statesville, NC
  • NPI 1861633372
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1992810626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HARTNESS RD",
            "address_2": "STE E",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773400",
            "telephone_number": "704-924-7575",
            "fax_number": "704-924-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HARTNESS RD",
            "address_2": "STE E",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773400",
            "telephone_number": "704-924-7575",
            "fax_number": "704-924-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "GARCHA",
        "authorized_official_first_name": "TRISHWANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-924-7575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200001134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "127CK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "I672",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127CK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7392472",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Health Professionals, Inc.
• Carolina Health Professionals, Inc.
• Carolina Health Professionals, Inc.
• Carolina Health Proffesionals, Inc.
• Carolina Lab Diagnostics, LLC
• Carolina Orthopedics and Sports Medicine Specialists, PA
• Carolina Pain Consultants
• Carolina Psych Group, PA
• Carolina Rehab Incorporation
• Carolina Residential Services, Inc

• Neurology Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.