Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Adult Medicine, PA

Organization Internal Medicine Physician · NPI 1477512812

Carolina Adult Medicine, PA is an Internal Medicine Physician in Henderson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

568 Ruin Creek Rd Ste 002
Henderson, NC 27536-2880
Phone: (252) 438-7777
Fax: (252) 438-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 9701734 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 9700258 (NC)

Record details

NPI number1477512812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Gruchacz — President · (252) 438-7777
NPI enumeratedMarch 23, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address568 Ruin Creek Rd, Suite 002, Henderson, NC 27536-2880

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