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

Kim Marion Carollo, NP

Individual provider Acute Care Nurse Practitioner · NPI 1972072114

Kim Marion Carollo, NP is a Nurse Practitioner in Durham, North Carolina. Qualified in 2018, 8 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, North Carolina and South Carolina.

Years since qualifying
8
Licensed in
GA, NC, SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3643 N Roxboro St
Durham, NC 27704-2702
Phone: (919) 470-6248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 Blythe Blvd, Charlotte, NC 28203 — (704) 355-0270
  • 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 — (919) 231-6132
  • 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 — (803) 434-3800
  • 6 Richland Medical Park Dr Ste 2100, Columbia, SC 29203-6864 — (803) 434-2762

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 5012470 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN282977 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 23520 (SC)

Record details

NPI number1972072114
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 16, 2018
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Durham