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

Theresa McNeill Carmon

Individual provider Family Nurse Practitioner · NPI 1336078658

Theresa McNeill Carmon is a Nurse Practitioner in Wake Forest, North Carolina. Qualified in 2025, 1 year ago. Practices with Mainstreet and Kidsstreet of North Carolina PLLC, a 76-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2026
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Practice location Address checks out

2115 S Main St Ste A
Wake Forest, NC 27587-5011
Phone: (919) 229-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5024536 (NC)

Record details

NPI number1336078658
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2026
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mainstreet And Kidsstreet Of North Carolina Pllc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wake Forest