Carolina Medicorp Enterprises, LLC
NPI 1902209539ActiveOrganization· Family Medicine· Indian Trail, NC
Family Medicine in Indian Trail, North Carolina, registered in NPPES in September 2014. The authorized official on file is Geoffrey K. Gardner, Vp Of Finance.
Overview
| NPI | 1902209539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2014 |
| Last updated in NPPES | Sep 5, 2024 |
| Certified by provider | Sep 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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