CAROLINA FAMILY CARE P.A. NPI 1295806305

NPI Information

NPI: 1295806305
Provider Name: CAROLINA FAMILY CARE, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D0899632

Address:
707 W KING ST
KINGS MOUNTAIN, NC
ZIP 28086
Phone: (704) 734-0001
Get Directions

CAROLINA FAMILY CARE, P.A. is a primary care clinic center in Kings Mountain, NC. CAROLINA FAMILY CARE, P.A. NPI is 1295806305. The provider is registered as an organization entity type.

The provider's business location address is:

707 W KING ST
KINGS MOUNTAIN, NC
ZIP 28086-707
Phone: (704) 734-0001

The provider's authorized official is Deepak Ramchandra Gelot .
The authorized official title is President and has the following contact phone number (704) 734-0001.

The CLIA number assigned to this NPI record is 34D0899632 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2006 and was last updated on 11/20/2007.

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	261QP2300X	Clinic/Center	Primary Care		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	Other Provider Identifier Issuer
1	F78088	MEDICARE UPIN	NORTH CAROLINA
2	890218M	MEDICAID	NORTH CAROLINA
3	0218M	OTHER	NORTH CAROLINA	BCBS
4	2203263B	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »