Carolina Medicorp Enterprises, LLC
NPI 1902209539 · Family Medicine Physician · Indian Trail, NC
Carolina Medicorp Enterprises, LLC is a Family Medicine Physician organization in Indian Trail, NC (NPI 1902209539).
Provider details
- NPI number
- 1902209539
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Geoffrey Gardner, Vp of Finance(704) 384-7203
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
11 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
- Novant Health Express
Registry dates
- Enumerated
- 2014-09-26
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Frequently asked questions
- What is Carolina Medicorp Enterprises, LLC's NPI number?
- Carolina Medicorp Enterprises, LLC's National Provider Identifier (NPI) is 1902209539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Medicorp Enterprises, LLC?
- Carolina Medicorp Enterprises, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Medicorp Enterprises, LLC located?
- Carolina Medicorp Enterprises, LLC's practice location on file with NPPES is 622 Indian Trail Rd S, Indian Trail, NC 28079-9680.
- What is Carolina Medicorp Enterprises, LLC's phone number?
- The practice phone number listed in the NPPES registry for Carolina Medicorp Enterprises, LLC is (704) 384-1575.
- Who is the authorized official for Carolina Medicorp Enterprises, LLC?
- The authorized official listed on Carolina Medicorp Enterprises, LLC'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, LLC's NPI active?
- Yes — Carolina Medicorp Enterprises, LLC's NPI (1902209539) is active in the NPPES registry as of the last update on 2024-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.