CAROLINA ADULT MEDICINE, PA
NPI 1477512812
Internal Medicine - Geriatric Medicine in Henderson, NC

NPI Status: Active since March 23, 2006

Contact Information

568 RUIN CREEK RD
SUITE 002
HENDERSON, NC
ZIP 27536
Phone: (252) 438-7777
Fax: (252) 438-7190

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  • Organization
  • Internal Medicine
  • Geriatric Medicine

About CAROLINA ADULT MEDICINE, PA

This page provides the complete NPI Profile along with additional information for Carolina Adult Medicine, Pa, an internist established in Henderson, North Carolina operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1477512812 assigned on March 2006. The practitioner's primary taxonomy code is 207RG0300X with license number 9701734 (NC). The provider is registered as an organization and their NPI record was last updated one year ago. Carolina Adult Medicine, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mark John Gruchacz M.d. (President)

NPI
1477512812
Provider Name
CAROLINA ADULT MEDICINE, PA
Entity Type
Organization
Location Address
568 RUIN CREEK RD SUITE 002 HENDERSON, NC 27536
Location Phone
(252) 438-7777
Location Fax
(252) 438-7190
Mailing Address
568 RUIN CREEK RD SUITE 002 HENDERSON, NC 27536
Mailing Phone
(252) 438-7777
Mailing Fax
(252) 438-7190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2006
Last Update Date
09-11-2025
Code Navigator

An internist like Carolina Adult Medicine, Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
9701734
License State
NC
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

9700258 (NC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARK JOHN GRUCHACZ M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(252) 438-7777

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
016G2OTHER (01)NCBCBS GROUP NUMBER
89016G2MEDICAID (05)NC 

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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 1477512812, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 0 + 1 + 4 + 8 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1477512812.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
568 RUIN CREEK RD, SUITE 5
HENDERSON, NC 27536
Clinical Medical Laboratory
568 RUIN CREEK RD, SUITE 5
HENDERSON, NC 27536
Internal Medicine (Nephrology)
568 RUIN CREEK RD, SUITE 006
HENDERSON, NC 27536
Family Medicine
568 RUIN CREEK RD, SUITE 001
HENDERSON, NC 27536
Nurse Anesthetist, Certified Registered
568 RUIN CREEK RD, SUITE 105
HENDERSON, NC 27536
Nurse Anesthetist, Certified Registered
568 RUIN CREEK RD, SUITE 105
HENDERSON, NC 27536
Anesthesiology
568 RUIN CREEK RD, SUITE 105
HENDERSON, NC 27536
Specialist
568 RUIN CREEK RD, SUITE 128
HENDERSON, NC 27536
Dermatology
568 RUIN CREEK RD, SUITE 120
HENDERSON, NC 27536
Counselor (Mental Health)
568 RUIN CREEK RD, SUITE 124
HENDERSON, NC 27536
Dentist (Orthodontics and Dentofacial Orthopedics)
568 RUIN CREEK RD, SUITE 007
HENDERSON, NC 27536
Urology
568 RUIN CREEK RD, STE. 121
HENDERSON, NC 27536
Specialist
568 RUIN CREEK RD, SUITE 120
HENDERSON, NC 27536
Dentist (General Practice)
568 RUIN CREEK RD, SUITE 007
HENDERSON, NC 27536
Internal Medicine (Cardiovascular Disease)
568 RUIN CREEK RD, SUITE 102
HENDERSON, NC 27536
Anesthesiology
568 RUIN CREEK RD, SUITE 128
HENDERSON, NC 27536
Otolaryngology
568 RUIN CREEK RD, SUITE 003
HENDERSON, NC 27536
Internal Medicine
568 RUIN CREEK RD, SUITE 102
HENDERSON, NC 27536
Internal Medicine (Nephrology)
568 RUIN CREEK RD, SUITE 006
HENDERSON, NC 27536
Physical Medicine & Rehabilitation
568 RUIN CREEK RD, SUITE 128
HENDERSON, NC 27536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477512812, enumerated as an "organization" on March 23, 2006.

The provider is located at 568 RUIN CREEK RD SUITE 002 HENDERSON, NC 27536 and the phone number is (252) 438-7777.

Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.