Carolina Pines Medical, PC
NPI 1164677332 · Family Medicine Physician · Jacksonville, NC
Carolina Pines Medical, PC is a Family Medicine Physician organization in Jacksonville, NC (NPI 1164677332).
Provider details
- NPI number
- 1164677332
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Shusko, President(910) 347-5444
- License
- 200301290 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Carolina Pines Wellness Center
Registry dates
- Enumerated
- 2008-12-01
- Last updated
- 2009-02-10
Frequently asked questions
- What is Carolina Pines Medical, PC's NPI number?
- Carolina Pines Medical, PC's National Provider Identifier (NPI) is 1164677332, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Pines Medical, PC?
- Carolina Pines Medical, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Pines Medical, PC located?
- Carolina Pines Medical, PC's practice location on file with NPPES is 3215 Henderson Dr, Jacksonville, NC 28546-5251.
- What is Carolina Pines Medical, PC's phone number?
- The practice phone number listed in the NPPES registry for Carolina Pines Medical, PC is (910) 347-5444.
- Who is the authorized official for Carolina Pines Medical, PC?
- The authorized official listed on Carolina Pines Medical, PC's NPPES record is Michael Shusko, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Pines Medical, PC's NPI active?
- Yes — Carolina Pines Medical, PC's NPI (1164677332) is active in the NPPES registry as of the last update on 2009-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.