THERESA MCNEILL CARMON
NPI 1336078658
Nurse Practitioner - Family in Wake Forest, NC

Q: What is Theresa Carmon's NPI number?

The NPI number for Theresa Carmon is 1336078658. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Q: What is Theresa Carmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Carmon was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.

Active since May 14, 2026PECOS Enrolled

2115 S MAIN ST STE A, WAKE FOREST, NC 27587(919) 229-4833 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa Mcneill Carmon NPPES

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

THERESA MCNEILL CARMON (NPI 1336078658) is an individual family provider in Wake Forest, North Carolina, licensed in North Carolina (5024536) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336078658

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTHERESA MCNEILL CARMON

Location Address2115 S MAIN ST STE AWake Forest, NC 27587-5011

Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866

Phone(919) 229-4833

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 14, 2026

Last NPPES UpdateJune 20, 2026

NPPES CertifiedJune 20, 2026

✔ NPI 1336078658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5024536

2115 S MAIN ST STE A, Wake Forest, NC 27587

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Mcneill Carmon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254802754

PECOS Enrollment IDI20260605000974

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

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

KARA NICOLE SATTERFIELD PA

Physician Assistant