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MID-CAROLINA RADIOLOGY
NPI 1689777245
Radiology - Diagnostic Radiology in Sanford, NC

Active since September 07, 2006
1135 CARTHAGE ST, SANFORD, NC 27330(919) 777-7092(775) 624-9774 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2024, May 14, 2024, May 7, 2024 and 1 more (4 updates tracked since 2021).

About Mid-carolina Radiology NPPES

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

MID-CAROLINA RADIOLOGY (NPI 1689777245) is a healthcare organization registered as a diagnostic radiology in Sanford, North Carolina and active in the NPI registry since September 2006. The organization lists John W Wittenborn, President, as its authorized official.

NPPES Registry Identity

NPI1689777245
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMID CAROLINA RADIOLOGY ASSOCIATES PA
Location Address1135 CARTHAGE STSanford, NC 27330-4162
Mailing AddressPo Box 63367Charlotte, NC 28263-3367 · (844) 825-9300 · Fax (775) 624-9774
Phone(919) 777-7092
Fax(775) 624-9774
Organization SubpartNo
Authorized OfficialJohn W WittenbornPresident · (919) 774-2055
Enumeration DateSeptember 7, 2006
Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1689777245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1135 CARTHAGE ST, Sanford, NC 27330
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Other Names 1

Doing Business AsMid-carolina Radiology

Other Identifiers 2

Other02165NC · Bcbs
Medicaid7902165NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-carolina Radiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mid-Carolina Radiology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Travis Henderson, M.D.
Diagnostic Radiology
NPI 1679539381
1135 CARTHAGE ST CENTRAL CAROLINA RADIOLOGY
Sanford, NC 27330
(919) 777-7092
✔ PECOS✔ Accepts MedicareSame address
John Wittenborn, M.D.
Diagnostic Radiology
NPI 1720181167
127 WAMSUTTA MILL RD STE D
Morganton, NC 28655
(828) 430-3511
✔ PECOS✔ Accepts Medicare144 mi

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

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 Mid Carolina Radiology Associates PA's NPI number?

The NPI number for Mid Carolina Radiology Associates PA is 1689777245. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Mid-Carolina Radiology.

Where is Mid Carolina Radiology Associates PA located?

Mid Carolina Radiology Associates PA is located at 1135 Carthage St, Sanford, NC 27330. The listed phone number is (919) 777-7092.

What is Mid Carolina Radiology Associates PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mid Carolina Radiology Associates PA enrolled in Medicare?

Yes. Mid Carolina Radiology Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid Carolina Radiology Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Mid Carolina Radiology Associates PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mid Carolina Radiology Associates PA was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.