Provider Type Icon

CAROLINAS MEDICAL CENTER NPI 1336447184


NPI Information

NPI: 1336447184
Provider Name: CAROLINAS MEDICAL CENTER

Doing Business As: CAROLINAS BACK AND SPORTS SPECIALISTS

Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
14214 BALLANTYNE LAKE ROAD
SUITE 150
CHARLOTTE, NC
ZIP 28277
Phone: (704) 512-4400
Get Directions

CAROLINAS MEDICAL CENTER is a sports medicine physical medicine rehabilitation in Charlotte, NC. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. CAROLINAS MEDICAL CENTER NPI is 1336447184. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolinas Back And Sports Specialists.

The provider's business location address is:

14214 BALLANTYNE LAKE ROAD
SUITE 150
CHARLOTTE, NC
ZIP 28277-373
Phone: (704) 512-4400
Fax: (704) 512-4401

The provider's authorized official is Thomas Ford Laymon .
The authorized official title is Svp and has the following contact phone number (704) 631-0002.

The enumeration date for this NPI number is 3/3/2011 and was last updated on 8/10/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineNo
22081S0010XPhysical Medicine & RehabilitationSports MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPB197MEDICAIDSOUTH CAROLINA
22351728GMEDICARE PINNORTH CAROLINA
35903972MEDICAIDNORTH 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: 4/28/2024

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.