| Carolina Gi Associates, Pc | |
|
120 Charles D Rollins Rd Suite 201 Henderson NC 27536-2882 | |
| (252) 430-8111 | |
| (252) 430-1804 |
| Full Name | Carolina Gi Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Charles D Rollins Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Mark Anthony Dubinski (OWNER) |
| Authorized Official Contact | 2524308111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Gi Associates, Pc 120 Charles D Rollins Rd Suite 201 Henderson NC 27536-2882 Ph: (252) 430-8111 | Carolina Gi Associates, Pc 120 Charles D Rollins Rd Suite 201 Henderson NC 27536-2882 Ph: (252) 430-8111 |
| NPI Number | 1164484838 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830124502 |
|---|---|
| Medicare Enrollment ID | O20050930000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164484838 | NPI | - | NPPES |
| 8929224 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Diane S Varnadore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518942119 PECOS PAC ID: 8224063987 Enrollment ID: I20050930000450 |
| Provider Name | Mark Anthony Dubinski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740279975 PECOS PAC ID: 6103851860 Enrollment ID: I20051003000044 |
| Provider Name | Paul Hagan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609892066 PECOS PAC ID: 8426053133 Enrollment ID: I20060930000013 |
| Provider Name | Jessica Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205204583 PECOS PAC ID: 9335458157 Enrollment ID: I20151019001241 |
| Provider Name | Shannon S Carringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831565977 PECOS PAC ID: 5496055592 Enrollment ID: I20180921002400 |
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