CAROLINA CARDIOLOGY, SLEEP & OBESITY CENTER PC
NPI 1518397587
Internal Medicine in Jacksonville, NC

Active since November 12, 2013
3280 HENDERSON DR STE C, JACKSONVILLE, NC 28546(910) 915-8450 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2022, Oct 30, 2019, Mar 1, 2019 and 1 more (4 updates tracked since 2016).

About Carolina Cardiology, Sleep & Obesity Center Pc NPPES

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

CAROLINA CARDIOLOGY, SLEEP & OBESITY CENTER PC (NPI 1518397587) is a healthcare organization registered as an internal medicine in Jacksonville, North Carolina and active in the NPI registry since November 2013. The organization maintains a secondary practice location in Kinston and lists Shyamal Kishore Mitra, Owner, as its authorized official.

NPPES Registry Identity

NPI1518397587
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAROLINA CARDIOLOGY, SLEEP & OBESITY CENTER PC
Location Address3280 HENDERSON DR STE CJacksonville, NC 28546-5290
Mailing Address3280 Henderson Dr Ste CJacksonville, NC 28546-5290 · (910) 915-8450 · Fax (888) 745-7026
Organization SubpartNo
Authorized OfficialShyamal Kishore MitraOwner · (252) 525-3290
Enumeration DateNovember 12, 2013
Last NPPES UpdateSeptember 12, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1518397587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 00-35439 (NC)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 00-35439 (NC)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 00-35439 (NC)
3280 HENDERSON DR STE C, Jacksonville, NC 28546

Secondary Practice Location 1

Location 11136 Hwy 258 N Ste 102Kinston, NC 28504-8304 · Phone (910) 915-8450

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Cardiology, Sleep & Obesity Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Carolina Cardiology, Sleep & Obesity Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Cardiovascular Disease (Cardiology)
NPI 1467437079
3280 HENDERSON DR STE C
Jacksonville, NC 28546
(910) 915-8450
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053021717
152 MEMORIAL CT
Jacksonville, NC 28546
(910) 346-3976
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1366917999
317 WESTERN BLVD
Jacksonville, NC 28546
(910) 577-2345
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 34D2085587

Carolina Cardiology, Sleep & Obesity Center PC · Jacksonville, NC
Expired · Oct 16, 2026
CLIA Number34D2085587
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorShymal Mitra
Laboratory Phone(910) 915-8450
Laboratory LocationCarolina Cardiology, Sleep & Obesity Center PC3280 Henderson Drive, Suite C, Jacksonville, NC 28546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cardiology, Sleep & Obesity Center PC's NPI number?

The NPI number for Carolina Cardiology, Sleep & Obesity Center PC is 1518397587. It was assigned to this organization in the NPPES registry on November 12, 2013.

Where is Carolina Cardiology, Sleep & Obesity Center PC located?

Carolina Cardiology, Sleep & Obesity Center PC is located at 3280 Henderson Dr Ste C, Jacksonville, NC 28546. The listed phone number is (910) 915-8450.

What is Carolina Cardiology, Sleep & Obesity Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carolina Cardiology, Sleep & Obesity Center PC enrolled in Medicare?

Yes. Carolina Cardiology, Sleep & Obesity Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Cardiology, Sleep & Obesity Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carolina Cardiology, Sleep & Obesity Center PC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carolina Cardiology, Sleep & Obesity Center PC accept?

Health plans from Blue Cross and Blue Shield of NC list Carolina Cardiology, Sleep & Obesity Center PC 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 Cardiology, Sleep & Obesity Center PC was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.