Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Active
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEAST
Other names
CAROLINA INTERNAL MEDICINE-CONCORD
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
(704) 403-4146
Entity
Organization
Contact information
Practice address
200 MEDICAL PARK DR, SUITE 300, CONCORD, NC 28025-2982
(704) 403-3676
(704) 403-3666
Mailing address
200 MEDICAL PARK DR, SUITE 300, CONCORD, NC 28025-2982
(704) 403-3676
(704) 403-3666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017EW
BCBS EFF PRIOR TO 7-1-07
NC
01
—
019F2
BCBSNC
NC
01
—
355573
MAMSI GROUP ID
NC
01
—
566000156065
TRICARE
NC
05
—
5901373
—
NC
05
—
5906962
—
NC
01
—
CN2098
RAILROAD GROUP ID
NC
01
—
DF8926
RAILROAD MEDICARE PTAN
NC
01
—
J386
PARTNERS MEDICARE CHOICE
NC
Enumeration date
06/05/2006
Last updated
08/27/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up