| Carolina Family Healthcare, PA | |
|
11220 Elm Ln Ste 102 Charlotte NC 28277-0716 | |
| (704) 847-4000 | |
| (704) 847-4001 |
| Full Name | Carolina Family Healthcare, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 11220 Elm Ln Ste 102, Charlotte, North Carolina |
| Authorized Official Name and Position | Dino P Kanelos (OWNER) |
| Authorized Official Contact | 7048474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Healthcare, PA 11220 Elm Ln Ste 102 Charlotte NC 28277-0716 Ph: (704) 847-4000 | Carolina Family Healthcare, PA 11220 Elm Ln Ste 102 Charlotte NC 28277-0716 Ph: (704) 847-4000 |
| NPI Number | 1548529878 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 3577546662 |
|---|---|
| Medicare Enrollment ID | O20040610000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548529878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Dino Peter Kanelos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306959705 PECOS PAC ID: 5092627620 Enrollment ID: I20040511001096 |
| Provider Name | Dimitrios P Hondros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891804993 PECOS PAC ID: 1153328596 Enrollment ID: I20061027000391 |
| Provider Name | Sharon K Kanelos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497785430 PECOS PAC ID: 6709989635 Enrollment ID: I20070314000490 |
| Provider Name | Maureen Moore Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518258052 PECOS PAC ID: 0648426999 Enrollment ID: I20120907000349 |
| Provider Name | Jeffrey a Seegers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144765769 PECOS PAC ID: 7618254541 Enrollment ID: I20170503000121 |
| Provider Name | Michael J Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518421239 PECOS PAC ID: 0143560417 Enrollment ID: I20190322002167 |
| Provider Name | Rachel Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457800682 PECOS PAC ID: 3375825755 Enrollment ID: I20200827003116 |
| Provider Name | Samantha Marie Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134889579 PECOS PAC ID: 2668857723 Enrollment ID: I20220910000536 |
| Provider Name | Kaitlyn R Gossard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336821834 PECOS PAC ID: 0941644041 Enrollment ID: I20240216001697 |
| Provider Name | Samantha L Russo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760260772 PECOS PAC ID: 8224472725 Enrollment ID: I20240222002652 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 |
Companion Health, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 |
Clarity Health Dpc, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Springbank Ln Ste B, Charlotte, NC 28226 Phone: 704-709-3351 Fax: 704-991-7799 |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 |