NOVANT HEALTH GOHEALTH URGENT CARE
Complete NPI Record 1760950646
Clinic/Center - Urgent Care in Charlotte, NC
Active since November 08, 2018CLIA Certified · 23 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Novant Health Gohealth Urgent Care (NPI 1760950646), a clinic/center organization in Charlotte, NC. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1760950646 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/29
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: CAROLINA MEDICORP ENTERPRISES, LLC Field 4/29
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: NOVANT HEALTH GOHEALTH URGENT CARE Field 5/29
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/29
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 601843 Field 7/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CHARLOTTE Field 8/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NC Field 9/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 282601843 Field 10/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 445 S KINGS DR Field 12/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: CHARLOTTE Field 13/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NC Field 14/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 282043041 Field 15/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9803080141 Field 17/29
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9803080140 Field 18/29
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: WALTON Field 21/29
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LEEA Field 22/29
- The first name of the authorized official.
- Authorized Official Middle Name: JEANINE Field 23/29
- The middle name of the authorized official.
- Authorized Official Title or Position: RCS MANAGER Field 24/29
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7043166081 Field 25/29
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QU0200X Field 26/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 27/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 28/29
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 27
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
8450 Park Rd
Location 1/27Charlotte, NC 28210-5801 · Phone (980) 308-0143 · Fax (980) 308-0142
15235 John J Delaney Dr Ste B
Location 2/27Charlotte, NC 28277-2846 · Phone (704) 243-8937 · Fax (704) 243-8926
11840 Southmore Dr Ste 100
Location 3/27Charlotte, NC 28277-4821 · Phone (980) 308-0169 · Fax (980) 308-0173
600 Highland Oaks Dr
Location 4/27Winston Salem, NC 27103-7107 · Phone (336) 441-5569 · Fax (336) 390-1362
50 Miller St Ste C
Location 5/27Winston Salem, NC 27104-4206 · Phone (336) 310-5535 · Fax (336) 310-1183
3163 Gammon Ln
Location 6/27Clemmons, NC 27012-9052 · Phone (336) 310-5571 · Fax (336) 310-5574
13129 S Tryon St Ste 120
Location 7/27Charlotte, NC 28278-7915 · Phone (980) 337-4662 · Fax (980) 337-4658
4815 Berewick Town Center Dr Ste C&d
Location 8/27Charlotte, NC 28278-6733 · Phone (980) 337-4652 · Fax (980) 337-4653
9600 E Independence Blvd Ste B
Location 9/27Matthews, NC 28105-4628 · Phone (704) 815-5624 · Fax (704) 815-5621
794 S Main St Ste B
Location 10/27Kernersville, NC 27284-4074 · Phone (336) 904-2317 · Fax (336) 443-6030
105 Hanes Square Cir
Location 11/27Winston Salem, NC 27103-5514 · Phone (336) 441-5569 · Fax (336) 771-1907
9121 Sam Furr Rd Ste 108
Location 12/27Huntersville, NC 28078-8235 · Phone (704) 324-3590 · Fax (704) 324-3591
1977 Cotton Grove Rd
Location 13/27Lexington, NC 27292-5721 · Phone (336) 243-3000 · Fax (336) 243-3012
1122 Randolph St Ste 110
Location 14/27Thomasville, NC 27360-5730 · Phone (336) 474-3433 · Fax (336) 474-8165
9550 Rocky River Rd Ste 150
Location 15/27Charlotte, NC 28215-9592 · Phone (704) 316-5281 · Fax (704) 316-5283
11300 Cresthill Dr Ste 120
Location 16/27Mint Hill, NC 28227-7924 · Phone (704) 438-9479 · Fax (704) 438-9478
8110 Healthcare Loop
Location 17/27Charlotte, NC 28215-7069 · Phone (704) 316-4513 · Fax (704) 316-2311
3500 Mt Holly Huntersville Rd
Location 18/27Charlotte, NC 28216-8644 · Phone (980) 302-9304
17078 Nat Bynum Ln Unit 3
Location 19/27Cornelius, NC 28031-0507 · Phone (704) 324-3975 · Fax (704) 324-3974
2452 Fairlawn Ct
Location 20/27Winston-Salem, NC 27106-3884 · Phone (336) 443-9910 · Fax (336) 443-9909
7811 N Point Blvd
Location 21/27Winston Salem, NC 27106-3209 · Phone (336) 281-5965 · Fax (336) 281-5873
4304 Park Rd
Location 22/27Charlotte, NC 28209-2271 · Phone (980) 302-9304
8036 Providence Rd Ste 100
Location 23/27Charlotte, NC 28277-0257 · Phone (704) 635-6411
1600 Highwoods Blvd
Location 24/27Greensboro, NC 27410-2048 · Phone (743) 230-6697 · Fax (743) 230-6698
6610 Old Monroe Rd
Location 25/27Indian Trail, NC 28079-5351 · Phone (704) 635-6411 · Fax (704) 635-6412
5303 Poplar Tent Rd Ste 90
Location 26/27Concord, NC 28027-9720 · Phone (980) 866-4493 · Fax (980) 866-4494
1302 Wesley Chapel Rd Ste A
Location 27/27Indian Trail, NC 28079-5243 · Phone (704) 635-6411 · Fax (704) 635-6412
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