CENTRAL CAROLINA-IMA, LLC (NPI# 1144658311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144658311 |
| Entity Type | Organization |
| Organization Name | CENTRAL CAROLINA-IMA, LLC |
| Practice Address |
1139 Carthage St Ste 110 Sanford NC 27330-4111 |
| Mailing Address |
Po Box 742790 Atlanta GA 30374-2790 |
| Practice Telephone | 9197742195 |
| Practice Fax Number | 9197768131 |
| Mailing Telephone | 9197742195 |
| Mailing Fax Number | 9197768131 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1139 CARTHAGE ST STE 110 |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063474 | William Henry Purvis | Urology | 1139 Carthage St, Suite 110, Sanford, NC 27330-4111 | 2005-09-19 |
| 1679008288 | Cheri W Folk | Registered Nurse | 1139 Carthage St, Suite 105, Sanford, NC 27330-4111 | 2017-04-21 |
| 1659810455 | Dlp Central Carolina Medical Group LLC | Obstetrics & Gynecology | 1139 Carthage St, Suite 110-a, Sanford, NC 27330-4111 | 2017-02-14 |
| 1316485410 | Dlp Central Carolina Medical Group LLC | Surgery | 1139 Carthage St, Suite 110-b, Sanford, NC 27330-4111 | 2017-02-08 |
| 1932566478 | Dlp Central Carolina Physician Practices LLC | Surgery | 1139 Carthage St, Ste 110-b, Sanford, NC 27330-4111 | 2016-01-27 |
| 1205293743 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 1139 Carthage St, St 110-a, Sanford, NC 27330-4111 | 2016-01-27 |
| 1073854659 | Anna Renee Knowles | Physician Assistant | 1139 Carthage St, Suite 101, Sanford, NC 27330-4111 | 2013-03-07 |
| 1962733873 | Charles Allan Eure | Internal Medicine | 1139 Carthage St, Suite 110, Sanford, NC 27330-4111 | 2010-01-18 |
| 1063743979 | Gerald Wayne Blake | Internal Medicine | 1139 Carthage St, Suite 110, Sanford, NC 27330-4111 | 2010-01-18 |
| 1205024007 | Central Carolina Orthopaedic | Specialist | 1139 Carthage St, Suite 101, Sanford, NC 27330-4111 | 2007-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1326439142 | Ashwinkumar R Patel | Internal Medicine | 1403 Medical Plaza Drive, Suite 106, Sanford, FL 32771-1085 | 2015-02-16 |
| 1629357793 | Tricounty Medical Association,llc | Internal Medicine | 5150 Majestic Woods Pl, Sanford, FL 32771-5400 | 2011-08-08 |
| 1427340959 | Zainab Jehanzeb Qureshi | Internal Medicine | Central Florida Regional Hospital, 1401 W Seminole Blvd, Sanford, FL 32771 | 2011-05-02 |
| 1891979605 | Surinder Dhawan | Internal Medicine | 1024 S. Horner Boulevard, Sanford, NC 27330-4151 | 2007-12-28 |
| 1104018779 | Carolina Internal Medicine of Sanford Pa | Internal Medicine | 4546 Hwy 87 South, Sanford, NC 27332-0212 | 2007-08-16 |
| 1689898041 | Sanford Care Internal Medicine, P.C. | Internal Medicine | 109 S Vance St, Sanford, NC 27330-4372 | 2007-04-13 |
| 1407977804 | Covenant Clinic, P. A. | Internal Medicine | 7953 Villanow Dr, Sanford, NC 27332-7595 | 2007-04-03 |
| 1255489993 | Prashant Jani | Internal Medicine | 1403 Medical Plaza Dr Ste 106, Sanford, FL 32771-1085 | 2007-01-08 |
| 1467524264 | Michael Richard Lincourt | Internal Medicine | 27 June Street, Sanford, ME 04073 | 2006-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.