What is Carolina Medicorp Enterprises, Inc's NPI number?

Carolina Medicorp Enterprises, Inc's National Provider Identifier (NPI) is 1104239953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Carolina Medicorp Enterprises, Inc?

Carolina Medicorp Enterprises, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Carolina Medicorp Enterprises, Inc located?

Carolina Medicorp Enterprises, Inc's practice location on file with NPPES is 610 Jetton St, Davidson, NC 28036-9320.

What is Carolina Medicorp Enterprises, Inc's phone number?

The practice phone number listed in the NPPES registry for Carolina Medicorp Enterprises, Inc is (704) 384-1555.

Who is the authorized official for Carolina Medicorp Enterprises, Inc?

The authorized official listed on Carolina Medicorp Enterprises, Inc's NPPES record is Geoffrey Gardner, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Carolina Medicorp Enterprises, Inc's NPI active?

Yes — Carolina Medicorp Enterprises, Inc's NPI (1104239953) is active in the NPPES registry as of the last update on 2014-08-19.

OrganizationActive

Carolina Medicorp Enterprises, Inc

NPI 1104239953 · Family Medicine Physician · Davidson, NC

Carolina Medicorp Enterprises, Inc is a Family Medicine Physician organization in Davidson, NC (NPI 1104239953).

Provider details

NPI number: 1104239953
Entity type: Organization
Primary specialty: Family Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Geoffrey Gardner, Vp of Finance(704) 384-7203

Practice location

610 Jetton St

Suite 214

Davidson, NC 28036-9320

Phone: (704) 384-1555

Fax: (704) 384-1557

Street-level locationGet directions

More NC providers

Mailing address

Po Box 751803

Charlotte, NC 28275-1803

Specialties & taxonomies

Family Medicine PhysicianPrimary207Q00000X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Novant Health Express

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 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.

Enumerated: 2014-06-10
Last updated: 2014-08-19

Frequently asked questions

What is Carolina Medicorp Enterprises, Inc's NPI number?: Carolina Medicorp Enterprises, Inc's National Provider Identifier (NPI) is 1104239953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Carolina Medicorp Enterprises, Inc?: Carolina Medicorp Enterprises, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
Where is Carolina Medicorp Enterprises, Inc located?: Carolina Medicorp Enterprises, Inc's practice location on file with NPPES is 610 Jetton St, Davidson, NC 28036-9320.
What is Carolina Medicorp Enterprises, Inc's phone number?: The practice phone number listed in the NPPES registry for Carolina Medicorp Enterprises, Inc is (704) 384-1555.
Who is the authorized official for Carolina Medicorp Enterprises, Inc?: The authorized official listed on Carolina Medicorp Enterprises, Inc's NPPES record is Geoffrey Gardner, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Carolina Medicorp Enterprises, Inc's NPI active?: Yes — Carolina Medicorp Enterprises, Inc's NPI (1104239953) is active in the NPPES registry as of the last update on 2014-08-19.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions