CAROLINA CENTER FOR INTEGRATIVE MEDICINE NPI 1104047877

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) in Raleigh, NC

NPI 1104047877 Organization Preventive Medicine Preventive Medicine/Occupational Environ...

About CAROLINA CENTER FOR INTEGRATIVE MEDICINE

Carolina Center For Integrative Medicine is a provider established in Raleigh, North Carolina specializing in preventive medicine (preventive medicine/occupational environmental medicine) . The NPI number of Carolina Center For Integrative Medicine is 1104047877 and was assigned on May 2007. The practitioner's primary taxonomy code is 2083P0500X with license number 31614 (NC). The provider is registered as an organization and their NPI record was last updated one year ago. Carolina Center For Integrative Medicine operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Renee Pilgrim (Practice Manager)

NPI

1104047877

Provider NameCAROLINA CENTER FOR INTEGRATIVE MEDICINE
Provider Location Address4505 FAIR MEADOWS LN SUITE 111 RALEIGH, NC 27607
Provider Mailing Address4505 FAIR MEADOWS LN SUITE 111 RALEIGH, NC 27607
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-01-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code2083P0500X
ClassificationPreventive Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPreventive Medicine/Occupational Environmental Medicine
License No.31614
License StateNC
Taxonomy DescriptionA preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Business Address

CAROLINA CENTER FOR INTEGRATIVE MEDICINE
4505 FAIR MEADOWS LN
SUITE 111
RALEIGH, NC
ZIP 27607
Phone: (919) 571-4391
Fax: (919) 571-8968

Get Directions


Mailing Address

CAROLINA CENTER FOR INTEGRATIVE MEDICINE
4505 FAIR MEADOWS LN
SUITE 111
RALEIGH, NC
ZIP 27607
Phone: (919) 571-4391
Fax: (919) 571-8968



Authorized Official

Authorized Official Name RENEE PILGRIM
Authorized Official TitlePRACTICE MANAGER
Authorized Official Phone(919) 571-4391

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386636702MS. GAIL LORETTA LIEBLANG NP
Individual
Nurse Practitioner4505 FAIR MEADOWS LN BLUE RIDGE PLAZA SUITE 204 (UNC CLINICAL RESEARCH )
RALEIGH, NC 27607
(919) 788-5335
1376538967MR. DONALD CHRISTOPHER BERNART P.A.-C
Individual
Physician Assistant4505 FAIR MEADOWS LN STE 204
RALEIGH, NC 27607
(919) 788-5334
1144274119 SCOTT H BRUNDLE MD
Individual
Family Medicine4505 FAIR MEADOWS LN STE 101
RALEIGH, NC 27607
(919) 783-9600
1639106057DR. CHERYL A. SIEGEL D.D.S.
Individual
Dentist4505 FAIR MEADOWS LN 209
RALEIGH, NC 27607
(919) 881-9258
1144249194DR. HENRY HURT HANCOCK III DDS, MS
Individual
Dentist (Endodontics)4505 FAIR MEADOWS LN SUITE 220
RALEIGH, NC 27607
(919) 781-9905
1366549636NORTH, INC.
Organization
Clinic/Center (Developmental Disabilities)4505 FAIR MEADOWS LN SUITE 203
RALEIGH, NC 27607
(919) 781-0661
1588795868 LESLI M. W. DOARES
Individual
Marriage & Family Therapist4505 FAIR MEADOWS LN SUITE 106
RALEIGH, NC 27607
(919) 781-1392
1164536363DR. JOHN C PITTMAN MD
Individual
Preventive Medicine (Public Health & General Preventive Medicine)4505 FAIR MEADOWS LN
RALEIGH, NC 27607
(919) 571-4391
1801000252DR. WILLIAM GEORGE BIXLER PH.D.
Individual
Psychologist (Clinical)4505 FAIR MEADOWS LN SUITE 106
RALEIGH, NC 27607
(919) 571-5378
1790054500MRS. DEANNA L TOWNS LPCA
Individual
Counselor (Professional)4505 FAIR MEADOWS LN SUITE 211
RALEIGH, NC 27607
(919) 615-1748
1417907544RALEIGH DURHAM MEDICAL GROUP PA
Organization
Family Medicine4505 FAIR MEADOWS LN SUITE 101
RALEIGH, NC 27607
(919) 783-9600
1205216181PSYCHOLOGICAL SERVICES OF CINDY C. COTTLE, PLLC
Organization
Psychologist4505 FAIR MEADOWS LN STE 106
RALEIGH, NC 27607
(919) 301-8513
1558742692DR. MONIQUE LINK PSYD
Individual
Psychologist (Clinical)4505 FAIR MEADOWS LN SUITE 106
RALEIGH, NC 27607
(919) 301-8513
1689107039 WENDY KRULL LCSW
Individual
Social Worker (Clinical)4505 FAIR MEADOWS LN
RALEIGH, NC 27607
(910) 323-1543
1063937415 JILL C VANARTHOS PA
Individual
Physician Assistant4505 FAIR MEADOWS LN
RALEIGH, NC 27607
1154953875 KRISTINE JETER NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)4505 FAIR MEADOWS LN
RALEIGH, NC 27607
(919) 787-4000
1720192651WAKE MEDICAL ASSOCIATES, P.A.
Organization
Preventive Medicine (Public Health & General Preventive Medicine)4505 FAIR MEADOWS LN
RALEIGH, NC 27607
(919) 571-4391
1003024928HENRY H HANCOCK III DDS MS PA
Organization
Dentist (Endodontics)4505 FAIR MEADOWS LN SUITE 220
RALEIGH, NC 27607
(919) 781-9905
1891226858BEST DAY PSYCHIATRY AND COUNSELING, PC
Organization
Psychiatry & Neurology (Psychiatry)4505 FAIR MEADOWS LN SUITE 102
RALEIGH, NC 27607
(910) 323-1543

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.