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Carolina Vascular Specialists, PA

Vascular Surgery Physician in Mooresville, NC · enumerated 2011 · authorized official Wallace Tarry, Owner/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750671723

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Registry record

Entity type Organization (Type 2)
Legal business name Carolina Vascular Specialists, PA
Practice address 146 Medical Park Rd, Suite 102, Mooresville, NC, 28117
Phone (704) 799-3939
Fax (704) 799-8748
Enumeration date Apr 12, 2011
Last updated in NPPES Oct 13, 2011

Taxonomy & classification

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Wallace Tarry
Title Owner/Provider
Phone (704) 799-3939

Other identifiers

Identifier Type State Issuer
5917234 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Carolina Vascular Specialists, PA?
NPPES lists Wallace Tarry (Owner/Provider) as the authorized official for this organization.
What is the NPI number for Carolina Vascular Specialists, PA?
The NPI for Carolina Vascular Specialists, PA is 1750671723, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-13.