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

Active since March 23, 2006
568 RUIN CREEK RD, SUITE 002, HENDERSON, NC 27536(252) 438-7777(252) 438-7190 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Carolina Adult Medicine, Pa NPPES

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

CAROLINA ADULT MEDICINE, PA (NPI 1477512812) is a healthcare organization registered as a geriatric medicine in Henderson, North Carolina and active in the NPI registry since March 2006. The organization lists Mark John Gruchacz, President, as its authorized official.

NPPES Registry Identity

NPI1477512812
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameCAROLINA ADULT MEDICINE, PA
Location Address568 RUIN CREEK RD, SUITE 002Henderson, NC 27536-2880
Mailing Address568 Ruin Creek Rd, Suite 002Henderson, NC 27536-2880 · (252) 438-7777 · Fax (252) 438-7190
Phone(252) 438-7777
Fax(252) 438-7190
Organization SubpartNo
Authorized OfficialMark John GruchaczPresident · (252) 438-7777
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1477512812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NC · 9701734
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 9700258 (NC)
568 RUIN CREEK RD, Henderson, NC 27536
Open in Google Maps ↗

Other Identifiers 2

Other016G2NC · Bcbs Group Number
Medicaid89016G2NC

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

Other Providers at the Same Location NPPES 20

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

PHILIP D MEADOR JR MD PA
Specialist
568 RUIN CREEK RD, SUITE 120
HENDERSON, NC 27536
Vance County (252) 492-2123
AMERICAN HUMAN SERVICES, INC.
Counselor (Mental Health)
568 RUIN CREEK RD, SUITE 124
HENDERSON, NC 27536
Vance County (919) 851-5114
DR. ASHISH SINGH MD
Internal Medicine (Critical Care Medicine)
568 RUIN CREEK RD, SUITE 127
HENDERSON, NC 27536
Vance County (252) 430-7110
TARIQ ABO-KAMIL MD
Internal Medicine (Nephrology)
568 RUIN CREEK RD, SUITE 006
HENDERSON, NC 27536
Vance County (252) 436-1080
L VIJAYA. MD, PA
Urology
568 RUIN CREEK RD, STE. 121
HENDERSON, NC 27536
Vance County (252) 492-8711
SHELBY H VANVENROOY DDS
Dentist (General Practice)
568 RUIN CREEK RD, SUITE 007
HENDERSON, NC 27536
Vance County (252) 431-1302
DR. KIRIT D TRIVEDI M.D.
Family Medicine
568 RUIN CREEK RD, SUITE 001
HENDERSON, NC 27536
Vance County (252) 438-7102
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Family Medicine
568 RUIN CREEK RD, SUITE 001
HENDERSON, NC 27536
Vance County (252) 438-7102

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 Adult Medicine, PA's NPI number?

The NPI number for Carolina Adult Medicine, PA is 1477512812. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Carolina Adult Medicine, PA located?

Carolina Adult Medicine, PA is located at 568 Ruin Creek Rd Suite 002, Henderson, NC 27536. The listed phone number is (252) 438-7777.

What is Carolina Adult Medicine, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Carolina Adult Medicine, PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.