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

Carolina Pines Medical, PC

Organization Family Medicine Physician · NPI 1164677332

Carolina Pines Medical, PC is a Family Medicine Physician in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3215 Henderson Dr
Jacksonville, NC 28546-5251
Phone: (910) 347-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 200301290 (NC)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 200301290 (NC)

Record details

NPI number1164677332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shusko — President · (910) 347-5444
Other names Carolina Pines Wellness Center
NPI enumeratedDecember 1, 2008
Last updated in NPPESFebruary 10, 2009
Mailing address3215 Henderson Dr, Jacksonville, NC 28546-5251

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