CAROLINA MEDICORP ENTERPRISES, INC. (NPI# 1235643420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235643420 |
| Entity Type | Organization |
| Organization Name | CAROLINA MEDICORP ENTERPRISES, INC. |
| Other Organization Name | NOVANT HEALTH URGENT CARE |
| Practice Address |
7811 N Point Blvd Winston Salem NC 27106-3209 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367590700 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | MARIMARTHA MATTHEWS (SR. DIRECTOR) |
| Authorized Official Telephone | 7043847689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446667 | Carolina Medicorp Enterprises, Inc. | Preventive Medicine | 330 Billingsley Rd Ste 101, Charlotte, NC 28211-5020 | 2018-05-03 |
| 1760950646 | Carolina Medicorp Enterprises, Inc. | Clinic/Center | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2018-11-08 |
| 1083127377 | Carolina Medicorp Enterprises, Inc. | Emergency Medicine | 9550 Rocky River Rd Ste 150, Charlotte, NC 28215-9592 | 2017-11-09 |
| 1730592577 | Carolina Medicorp Enterprises, Inc. | Family Medicine | 1730 E Woodlawn Rd, Suite D, Charlotte, NC 28209-2234 | 2014-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Carolina Medicorp Enterprises, Inc. | , , |
| Virginia Business Entity | Carolina Medicorp Enterprises, Inc. | 2085 FRONTIS PLAZA BLVD , WINSTON-SALEM, NC 27103 |
| Street Address |
7811 N POINT BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497731434 | Charity A. Martin | Physician Assistant | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2005-12-21 |
| 1760950646 | Carolina Medicorp Enterprises, Inc. | Clinic/Center | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2018-11-08 |
| 1235635954 | Amy Valerie Yu | Physician Assistant | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2018-04-02 |
| 1659825123 | Tracy L Wyngaard | Nurse Practitioner | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2016-08-12 |
| 1518334994 | Lindsay Hammond | Nurse Practitioner | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2015-09-01 |
| 1528455516 | Deborah Michelle Brasher | Nurse Practitioner | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2015-04-17 |
| 1689085680 | Mary Theresa Massary | Family Medicine | 7811 N Point Blvd, Winston Salem, NC 27106 | 2014-05-13 |
| 1154745073 | Mae Haliburton | Nurse Practitioner | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2014-02-12 |
| 1336280742 | Kimberly H Parrett | Physician Assistant | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2007-02-09 |
| 1043361108 | Milissa Johnson Fitzgerald | Physician Assistant | 7811 N Point Blvd, Winston Salem, NC 27106-3209 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409642 | Novant Medical Group, Inc. | Emergency Medicine | 190 Kimel Park Dr Ste 125, Winston Salem, NC 27103-6946 | 2017-11-02 |
| 1255864377 | Sarah M Harris | Emergency Medicine | Wfbmc Department of Emergency Medicine, Medical Center Boulevard, Winston Salem, NC 27157-7438 | 2017-04-05 |
| 1306292768 | Michael Edward Dean | Emergency Medicine | Emergency Medicine Department, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-05-04 |
| 1013361831 | Adam Scott Curatolo | Emergency Medicine | Emergency Medicine Department Meads Hl Fl 2, Wake Forest Baptist Medical Center Medical Center Blvd, Winston Salem, NC 27157-3754 | 2016-04-18 |
| 1104280585 | John Michael Butler II | Emergency Medicine | Gme Wake Forest Baptist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-04-11 |
| 1578982609 | Jonathan Tyler Jaffe | Emergency Medicine | 1 Medical Center Boulevard Department of Anesthesia, Winston Salem, NC 27157-3676 | 2014-04-16 |
| 1568724607 | Matthew Gentry | Emergency Medicine | Wake Forest Baptist Hospital, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2012-06-14 |
| 1003178856 | Julio Miguel Arrieta | Emergency Medicine | Wake Forest Babtist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-06-07 |
| 1376838789 | Megan Elizabeth Docherty | Emergency Medicine | Emergency Medicine Wake Ctr, Medical Center Blvd., Winston Salem, NC 27157-0001 | 2011-06-14 |
| 1437363199 | James Scott Burrow | Emergency Medicine | 409 Lawndale Dr, Winston Salem, NC 27104-4015 | 2007-05-10 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.