CAROLINA HEALTH ASSOCIATES PC
NPI 1154112274
Nurse Practitioner - Family in Fayetteville, NC

NPI Status: Active since May 16, 2025

Contact Information

1817 GENTLE BEND WAY
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 224-5636
Fax: (910) 224-5636

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  • Organization
  • Nurse Practitioner
  • Family

About CAROLINA HEALTH ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Carolina Health Associates Pc, a provider established in Fayetteville, North Carolina operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1154112274 assigned on May 2025. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Dr. Michelle Mack Dnp Fnp-c (Ceo)

NPI
1154112274
Provider Name
CAROLINA HEALTH ASSOCIATES PC
Entity Type
Organization
Location Address
1817 GENTLE BEND WAY FAYETTEVILLE, NC 28314
Location Phone
(910) 224-5636
Location Fax
(910) 224-5636
Mailing Address
1817 GENTLE BEND WAY FAYETTEVILLE, NC 28314
Mailing Phone
(910) 224-5636
Mailing Fax
(910) 224-5636
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-16-2025
Last Update Date
04-02-2026
Code Navigator

A nurse practitioner (NP) like Carolina Health Associates Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 2501 Bragg Blvd Ste A
    Fayetteville, NC 28303
    (910) 224-5636

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WP0807XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Child & Adolescent

 
2313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

 
3320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHELLE MACK DNP FNP-C

Authorized Official Title
CEO
Authorized Official Phone
(910) 224-5636

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154112274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 2 + 1 + 4 + 2 + 1 + 4 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154112274.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154112274, enumerated as an "organization" on May 16, 2025.

The provider is located at 1817 GENTLE BEND WAY FAYETTEVILLE, NC 28314 and the phone number is (910) 224-5636.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.