| 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 |
| Medicare PECOS PAC ID | 3577546662 |
|---|---|
| Medicare Enrollment ID | O20040610000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548529878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | 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 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc 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 | |
Carolinas Physicians Network Inc 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 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |