OrganizationActive
Carolinas Physicians Network, Inc.
NPI 1417367640 · Non-Pharmacy Dispensing Site · Fort Mill, SC
Carolinas Physicians Network, Inc. is a Non-Pharmacy Dispensing Site organization in Fort Mill, SC (NPI 1417367640).
Provider details
- NPI number
- 1417367640
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 1262 (SC)
Specialties & taxonomies
Suppliers
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.
Practice location
1091a 521 Red Ventures Drive
Fort Mill, SC 29707
Phone: (803) 547-4602
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Red Ventures- Chs
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2014-04-28
Frequently asked questions
- What is Carolinas Physicians Network, Inc.'s NPI number?
- Carolinas Physicians Network, Inc.'s National Provider Identifier (NPI) is 1417367640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolinas Physicians Network, Inc.?
- Carolinas Physicians Network, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Carolinas Physicians Network, Inc. located?
- Carolinas Physicians Network, Inc.'s practice location on file with NPPES is 1091a 521 Red Ventures Drive, Fort Mill, SC 29707.
- What is Carolinas Physicians Network, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Carolinas Physicians Network, Inc. is (803) 547-4602.
- Who is the authorized official for Carolinas Physicians Network, Inc.?
- The authorized official listed on Carolinas Physicians Network, Inc.'s NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolinas Physicians Network, Inc.'s NPI active?
- Yes — Carolinas Physicians Network, Inc.'s NPI (1417367640) is active in the NPPES registry as of the last update on 2014-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.