CAROLINA VASCULAR SPECIALISTS, PA
NPI 1750671723
Surgery - Vascular Surgery in Mooresville, NC

Active since April 12, 2011
146 MEDICAL PARK RD, SUITE 102, MOORESVILLE, NC 28117(704) 799-3939(704) 799-8748 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Vascular Specialists, Pa NPPES

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

CAROLINA VASCULAR SPECIALISTS, PA (NPI 1750671723) is a healthcare organization registered as a vascular surgery in Mooresville, North Carolina and active in the NPI registry since April 2011. The organization lists Wallace C Tarry, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1750671723
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCAROLINA VASCULAR SPECIALISTS, PA
Location Address146 MEDICAL PARK RD, SUITE 102Mooresville, NC 28117-8528
Mailing Address146 Medical Park Rd, Suite 102Mooresville, NC 28117-8528 · (704) 799-3939 · Fax (704) 799-8748
Fax(704) 799-8748
Organization SubpartNo
Authorized OfficialWallace C TarryOwner/provider · (704) 799-3939
Enumeration DateApril 12, 2011
Last NPPES UpdateOctober 13, 2011
NPI 1750671723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

146 MEDICAL PARK RD, Mooresville, NC 28117

Other Identifiers 2

Medicaid5917234NC
Medicare PIN2003788BNC

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

Other Providers at the Same Location NPPES 7

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

Preventive Medicine (Undersea and Hyperbaric Medicine)
146 MEDICAL PARK RD
MOORESVILLE, NC 28117
Surgery (Vascular Surgery)
146 MEDICAL PARK RD, STE 206
MOORESVILLE, NC 28117
Internal Medicine
146 MEDICAL PARK RD, STE 106
MOORESVILLE, NC 28117
Nurse Anesthetist, Certified Registered
146 MEDICAL PARK RD, SUITE 108
MOORESVILLE, NC 28117
Surgery (Vascular Surgery)
146 MEDICAL PARK RD, STE 206
MOORESVILLE, NC 28117
Nurse Practitioner
146 MEDICAL PARK RD, STE 206
MOORESVILLE, NC 28117
Obstetrics & Gynecology
146 MEDICAL PARK RD, SUITE 206
MOORESVILLE, NC 28117

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 Vascular Specialists, PA's NPI number?

The NPI number for Carolina Vascular Specialists, PA is 1750671723. It was assigned to this organization in the NPPES registry on April 12, 2011.

Where is Carolina Vascular Specialists, PA located?

Carolina Vascular Specialists, PA is located at 146 Medical Park Rd Suite 102, Mooresville, NC 28117. The listed phone number is (704) 799-3939.

What is Carolina Vascular Specialists, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Carolina Vascular Specialists, PA was last updated on October 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.