Cody Garrett Carpenter, MD | |
501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | |
(704) 377-2424 | |
(704) 377-2687 |
Full Name | Cody Garrett Carpenter |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043367915 | NPI | - | NPPES |
171J0 | Other | NC | BCBS |
302256 | Medicaid | SC | |
59-21309 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 2012-00810 (North Carolina) | Primary |
208000000X | Pediatrics | TL30225 (South Carolina) | Secondary |
Entity Name | Mid-atlantic Emergency Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073562757 PECOS PAC ID: 4880686823 Enrollment ID: O20040331000927 |
Mailing Address | Practice Location Address |
---|---|
Cody Garrett Carpenter, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424 | Cody Garrett Carpenter, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424 |
Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 | |
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 | |
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687 | |
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171 | |
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687 | |
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 |