CAROLINAS PHYSICIANS NETWORK INC. NPI 1053642363

NPI Information

NPI: 1053642363
Provider Name: CAROLINAS PHYSICIANS NETWORK, INC.

Doing Business As: CABARRUS FAMILY MEDICINE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5435 PROSPERITY CHURCH ROAD
STE 2200
CHARLOTTE, NC
ZIP 28269
Phone: (704) 863-9830
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CAROLINAS PHYSICIANS NETWORK, INC. is a mental health (including community mental health center) clinic center in Charlotte, NC. CAROLINAS PHYSICIANS NETWORK, INC. NPI is 1053642363. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cabarrus Family Medicine.

The provider's business location address is:

5435 PROSPERITY CHURCH ROAD
STE 2200
CHARLOTTE, NC
ZIP 28269-344
Phone: (704) 863-9830
Fax: (704) 863-9831

The provider's authorized official is Thomas Ford Laymon .
The authorized official title is Senior Vice President and has the following contact phone number (704) 446-8250.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 1/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling		NORTH CAROLINA	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1053642363	MEDICAID	NORTH CAROLINA
2	6008138	MEDICAID	NORTH CAROLINA
3	2331634R	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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