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CAROLINA DIGESTIVE PATHOLOGY LAB
NPI 1124052444
Internal Medicine - Gastroenterology in Charlotte, NC

Active since July 11, 2006
300 BILLINGSLEY RD STE 200, CHARLOTTE, NC 28211(704) 372-7974(704) 372-8201 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Nov 2, 2023, Feb 13, 2023 and 2 more (5 updates tracked since 2017).

About Carolina Digestive Pathology Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA DIGESTIVE PATHOLOGY LAB (NPI 1124052444) is a healthcare organization registered as a gastroenterology in Charlotte, North Carolina and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Charlotte and lists Julie Rothrock, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124052444
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCAROLINA DIGESTIVE HEALTH ASSOCIATES, PA
Location Address300 BILLINGSLEY RD STE 200Charlotte, NC 28211-1180
Mailing AddressPo Box 96314Charlotte, NC 28296-0314 · (704) 372-7974 · Fax (704) 372-8201
Phone(704) 372-7974
Fax(704) 372-8201
Organization SubpartNo
Authorized OfficialJulie RothrockCredentialing Coordinator · (704) 372-7974
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1124052444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NC · 40474
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
300 BILLINGSLEY RD STE 200, Charlotte, NC 28211
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Other Names 1

Other NameCarolina Digestive Pathology Lab

Secondary Practice Location 1

Location 1300 Billingsley Rd Ste 103Charlotte, NC 28211-1084 · Phone (704) 372-7974 · Fax (704) 372-8201

Other Identifiers 1

Medicaid7901569NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 34D2262203

Carolina Digestive Health Associates, PA · Charlotte, NC
Expired · Jul 31, 2026
CLIA Number34D2262203
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorTim D. Wax
Laboratory Phone(704) 970-4773
Laboratory LocationCarolina Digestive Health Associates, PA300 Billingsley Road, Suite 103, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLANREWAJU YUSUF JIMOH MD, MBA
Internal Medicine (Gastroenterology)
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
PHILLIP A FINK CRNA
Nurse Anesthetist, Certified Registered
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
AMBER LYNN BUSIEK CRNA
Nurse Anesthetist, Certified Registered
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
PRESTON PEMBERTON PURDUM III
Internal Medicine (Gastroenterology)
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
VICTORIA MALDONADO ROTHWELL MD
Internal Medicine (Gastroenterology)
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
CYRIL BOBBY MAZHUVANCHERY DO
Internal Medicine (Gastroenterology)
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
JENNIFER WARREN SWEARINGEN P.A.-C
Physician Assistant
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974
MICHAEL MARION GASPARI M.D.
Internal Medicine (Gastroenterology)
300 BILLINGSLEY RD STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 372-7974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Digestive Health Associates, PA's NPI number?

The NPI number for Carolina Digestive Health Associates, PA is 1124052444. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is also known as Carolina Digestive Pathology Lab.

Where is Carolina Digestive Health Associates, PA located?

Carolina Digestive Health Associates, PA is located at 300 Billingsley Rd Ste 200, Charlotte, NC 28211. The listed phone number is (704) 372-7974.

What is Carolina Digestive Health Associates, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

What insurance does Carolina Digestive Health Associates, PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Carolina Digestive Health Associates, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolina Digestive Health Associates, PA was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.