CAROLINAS PHYSICIANS NETWORK INC (NPI# 1518405257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518405257 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
| Other Organization Name | CAROLINAS HEALTHCARE SYSTEM DIABETES CARE |
| Practice Address |
4525 Cameron Valley Pkwy Ste 4100 Charlotte NC 28211-4369 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7043029462 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Carolinas HealthCare System Diabetes Care | Doing Business As Name - Organization |
| Carolinas HealthCare System Diabetes Care | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Blythe Blvd, Suite 500, Charlotte, NC 282035866 | 7043029462 | |
| 10650 Park Rd, Ste 300, Charlotte, NC 282108538 | 7043029462 | |
| 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 282787565 | 7043029462 | |
| 15110 John J Delaney Dr, Ste 200, Charlotte, NC 282773544 | 7043029462 | |
| 16455 Statesville Rd, Ste 200, Huntersville, NC 280787135 | 7043029462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1649890468 | Carolinas Physicians Network Inc | Family Medicine | 150 Professional Park Dr Ste 400, Mooresville, NC 28117-5604 | 2020-04-22 |
| Street Address |
4525 CAMERON VALLEY PKWY STE 4100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747149 | Charles Termin | Obstetrics & Gynecology | 4525 Cameron Valley Pkwy, Ste 2500, Charlotte, NC 28211-4369 | 2005-11-18 |
| 1881201036 | Katherine Farmer Combs | Dietitian, Registered | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2020-09-30 |
| 1962032326 | Emily Oatis | Dietitian, Registered | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2020-01-24 |
| 1881224970 | Sara Ohl | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2020-01-17 |
| 1699311563 | Carolinas Physicians Network Inc | Dermatology | 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 | 2019-11-26 |
| 1215573423 | Carolinas Physicians Network Inc | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 | 2019-11-22 |
| 1760952428 | Debbie Geraci | Dietitian, Registered | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2018-11-26 |
| 1043719958 | Adenike Fasan | Pharmacist | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2018-02-06 |
| 1992213193 | Kathleen Tucker | Dietitian, Registered | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2018-01-22 |
| 1780125484 | Lourdes Ovide | Nurse Practitioner | 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502081 | Leslie Thompson Van Horn | Dietitian, Registered | 7722 Quail Park Dr, Charlotte, NC 28210-6928 | 2020-09-14 |
| 1679188064 | Taryn Mattern | Dietitian, Registered | 4617 Dabney Vigor Dr, Charlotte, NC 28209-2839 | 2020-09-11 |
| 1508478017 | Katelin Emproto | Dietitian, Registered | 13521 Steelecroft Pkwy Unit D, Charlotte, NC 28278-7551 | 2020-08-18 |
| 1699386169 | Sequoia A Ridley | Dietitian, Registered | 7015 Berolina Ln Apt 1536, Charlotte, NC 28226-8710 | 2020-08-10 |
| 1396360954 | Madalyn Quinn | Dietitian, Registered | 309 S Sharon Amity Rd Ste 102, Charlotte, NC 28211-2886 | 2020-06-10 |
| 1578185567 | Madison Nancy Dodsworth | Dietitian, Registered | 11519 Painted Tree Rd, Charlotte, NC 28226-3841 | 2020-05-12 |
| 1356962203 | Lucy Price Hooper | Dietitian, Registered | 507 Queens Rd Apt 405, Charlotte, NC 28207-1592 | 2020-05-01 |
| 1457984478 | Tara Lavelle | Dietitian, Registered | 5434 Dockery Dr, Charlotte, NC 28209-3672 | 2020-02-18 |
| 1265072664 | Melanie Romano | Dietitian, Registered | 7733 Ballantyne Commons Pkwy Ste 201-i, Charlotte, NC 28277-4396 | 2020-01-14 |
| 1669016804 | Michael Decaro | Dietitian, Registered | 309 S Sharon Amity Rd Ste 101, Charlotte, NC 28211-2978 | 2019-10-31 |
| Find all providers in CHARLOTTE | ||||
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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.