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Carolina Medicorp Enterprises, LLC

Family Medicine Physician in Indian Trail, NC · enumerated 2014 · authorized official Geoffrey Gardner, Vp of Finance.

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

National Provider Identifier

1902209539

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Registry record

Entity type Organization (Type 2)
Legal business name Carolina Medicorp Enterprises, LLC
Other name <Unavail>
Practice address 622 Indian Trail Rd S, Indian Trail, NC, 28079
Fax (704) 384-1576
Enumeration date Sep 26, 2014
Last updated in NPPES Sep 5, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Geoffrey Gardner
Title Vp of Finance

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-05. Verify at npiregistry.cms.hhs.gov.
Where is Carolina Medicorp Enterprises, LLC located?
The practice location on file with NPPES is in Indian Trail, NC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-05.