Carolina Medicorp Enterprises Inc
NPI 1417497504 · Pediatrics Physician · Charlotte, NC
Carolina Medicorp Enterprises Inc is a Pediatrics Physician organization in Charlotte, NC (NPI 1417497504).
Provider details
- NPI number
- 1417497504
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp Finance(704) 384-7976
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Novant Health Pediatric Urgent Care
- Doing business as
- Novant Health Pediatric Urgent Care
Additional practice locations (1)
- 8450 Park RdCharlotte, NC 28210-5801Phone: (704) 384-7976Fax: (704) 384-7977
Registry dates
- Enumerated
- 2017-03-08
- Last updated
- 2018-09-17
Frequently asked questions
- What is Carolina Medicorp Enterprises Inc's NPI number?
- Carolina Medicorp Enterprises Inc's National Provider Identifier (NPI) is 1417497504, 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 Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Medicorp Enterprises Inc located?
- Carolina Medicorp Enterprises Inc's practice location on file with NPPES is 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821.
- 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) 316-4440.
- 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 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 (1417497504) is active in the NPPES registry as of the last update on 2018-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.