| Carolina Express Clinic | |
|
5110 Park Rd 1j Charlotte NC 28209 | |
| (704) 496-9100 | |
| Not Available |
| Full Name | Carolina Express Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5110 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Gregory S Chambers (OWNER/PROVIDER) |
| Authorized Official Contact | 7045720154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Express Clinic 5110 Park Rd 1j Charlotte NC 28209 Ph: (704) 572-0154 | Carolina Express Clinic 5110 Park Rd 1j Charlotte NC 28209 Ph: (704) 496-9100 |
| NPI Number | 1427483601 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 06/13/2014 |
| Medicare PECOS PAC ID | 5799910642 |
|---|---|
| Medicare Enrollment ID | O20131030000863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427483601 | NPI | - | NPPES |
| 1659346492 | Other | NC | NPI TYPE I: 1659346492 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 001000254 (North Carolina) | Primary |
| Provider Name | Ashli Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861923302 PECOS PAC ID: 6901173053 Enrollment ID: I20170522001838 |
| Provider Name | Ravon L Mckoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083132898 PECOS PAC ID: 7113284357 Enrollment ID: I20171127001626 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |