CAROLINAS PHYSICIANS NETWORK INC. NPI 1215125919

NPI Information

  • NPI: 1215125919
  • Provider Name: CAROLINAS PHYSICIANS NETWORK INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PINE LAKE FAMILY MEDICINE
  • Address: 4105 MATTHEWS MINT HILL RD
    MATTHEWS, NC
    ZIP 28105
  • Phone: (704) 545-4609

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NPI Details

CAROLINAS PHYSICIANS NETWORK INC. is a family medicine in Matthews, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAROLINAS PHYSICIANS NETWORK INC. NPI is 1215125919. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pine Lake Family Medicine.

The provider's business location address is:

4105 MATTHEWS MINT HILL RD
MATTHEWS, NC
ZIP 28105-633
Phone: (704) 545-4609
Fax: (704) 545-4798

The provider's authorized official is Daniel L. Wiens .
The authorized official title is Senior Vice President Of Operations and has the following contact phone number (704) 355-0648.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 12/22/2010.

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
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15908365MEDICAIDNORTH CAROLINA
22334282EMEDICARE PINNORTH 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: 11/21/2025

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