OrganizationActive
Carolina Medicorp Enterprises Inc
NPI 1003207960 · Emergency Medicine Physician · Charlotte, NC
Provider details
- NPI number
- 1003207960
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp Finance(704) 384-1734
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
445 South Kings Drive
Charlotte, NC 28204-3041
Phone: (704) 384-1734
Fax: (704) 384-1736
Street-level locationGet directions
Mailing address
Po Box 751803
Charlotte, NC 28275-1803
Other names (DBA / former)
- Doing business as
- Novant Health Urgent Care and Occupational Medicine
Registry dates
- Enumerated
- 2015-02-13
- Last updated
- 2015-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.