OrganizationActive
Carolina Vascular Specialists, PA
NPI 1750671723 · Vascular Surgery Physician · Mooresville, NC
Provider details
- NPI number
- 1750671723
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wallace Tarry, Owner/Provider(704) 799-3939
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
146 Medical Park Rd
Suite 102
Mooresville, NC 28117-8528
Phone: (704) 799-3939
Fax: (704) 799-8748
Approximate (ZIP-level) locationGet directions
Mailing address
146 Medical Park Rd
Mooresville, NC 28117-8528
Registry dates
- Enumerated
- 2011-04-12
- Last updated
- 2011-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.