CAROLINA DIGESTIVE ENDOSCOPY CENTER – NPI #1063584415
Clinic/Center

CAROLINA DIGESTIVE ENDOSCOPY CENTER is an AHC clinic located in CHARLOTTE, NC. NPPES has assigned the NPI number 1063584415 to CAROLINA DIGESTIVE ENDOSCOPY CENTER on November 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINA DIGESTIVE ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Mar 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA DIGESTIVE ENDOSCOPY CENTER below.

NPI Profile for
CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA

NPI Number
1063584415
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Doing Business As (dba): CAROLINA DIGESTIVE ENDOSCOPY CENTER
Primary location
300 BILLINGSLEY ROAD
SUITE 200B
CHARLOTTE, NC 28211-3092
Phone: (704) 372-7974 Fax: (704) 372-4966
Mailing address
PO BOX 96314
CHARLOTTE, NC 28296-0314
Phone: (704) 372-7974 Fax: (704) 970-4746
Organization Subpart
Yes - CAROLINA DIGESTIVE ENDOSCOPY CENTER is subpart of another organization.
Authorized Official
JULIE ROTHROCK
CREDENTIALING COORDINATOR
Phone: (704) 372-7974
Updated
Certification Date
Mar 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CAROLINA DIGESTIVE ENDOSCOPY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PINNC23881097C
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.