CAROLINA HEALTHCARE ASSOCIATES INC (NPI# 1265765325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765325 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Other Organization Name | ATLANTIC UROLOGY |
| Practice Address |
3009 Medical Plaza Ln Southport NC 28461-5194 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9103628765 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DANIEL GOODWIN (VICE-PRESIDENT) |
| Authorized Official Telephone | 9106677597 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Atlantic Urology | Doing Business As Name - Organization |
| Atlantic Urology | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 Physicians Dr, Wilmington, NC 284017356 | 9103628765 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9103628765 | |
| 5145 S College Rd, Wilmington, NC 284122207 | 9103628765 | |
| 7420 Market St, Wilmington, NC 284119453 | 9103628765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184279390 | Carolina Healthcare Associates Inc | Physical Therapist | 2710 Market St, Wilmington, NC 28403-1218 | 2019-08-05 |
| 1245519032 | Carolina Healthcare Associates Inc | Internal Medicine | 221 Memorial Dr, Jacksonville, NC 28546-6333 | 2011-08-10 |
| 1073821781 | Carolina Healthcare Associates Inc | Urology | 209b Us Highway 117 N, Burgaw, NC 28425-5101 | 2010-09-15 |
| 1841674264 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 2150 Shipyard Blvd, Wilmington, NC 28403-8052 | 2015-07-15 |
| 1033597224 | Carolina Healthcare Associates Inc | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-08 |
| 1417334145 | Carolina Healthcare Associates Inc | Internal Medicine | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-01 |
| 1518216118 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2012-08-29 |
| 1649529231 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1333 S Dickinson Dr, Suite 110, Leland, NC 28451-6430 | 2012-08-29 |
| 1609124650 | Carolina Healthcare Associates Inc | Clinic/Center | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-08-23 |
| 1851655930 | Carolina Healthcare Associates Inc | Internal Medicine | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-07-03 |
| Street Address |
3009 MEDICAL PLAZA LN |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-5194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589649 | J Arthur Dosher Memorial Hospital | Clinic/Center | 3009 Medical Plaza Ln, Southport, NC 28461-5194 | 2017-03-20 |
| 1700197761 | Leigh Margaret Vaughan | Family Medicine | 3009 Medical Plaza Ln, Southport, NC 28461 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497146856 | Novant Medical Group Inc | Urology | 1456 N Howe St, Suite 201, Southport, NC 28461-2754 | 2015-02-06 |
| 1073770939 | Atlantic Urology PC | Urology | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.