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

Carolina Medicorp Enterprises Inc

Organization Pediatrics Physician · NPI 1417497504

Carolina Medicorp Enterprises Inc is a Pediatrics Physician in Charlotte, North Carolina. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11840 Southmore Dr Ste 100
Charlotte, NC 28277-4821
Phone: (704) 316-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8450 Park Rd, Charlotte, NC 28210-5801 — (704) 384-7976

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1417497504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Vp Finance · (704) 384-7976
Other names Novant Health Pediatric Urgent Care; Novant Health Pediatric Urgent Care
NPI enumeratedMarch 8, 2017
Last updated in NPPESSeptember 17, 2018
Mailing addressPo Box 751803, Charlotte, NC 28275-1803

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