MEDICARE: CAROLINA ASTHMA AND ALLERGY CENTER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	00-18118	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01284	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215995444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA ASTHMA AND ALLERGY CENTER PA

Provider Business Mailing Address
First Line	:	PO BOX 96897
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28296-6897
Country	:	US
Telephone Number	:	704-372-7900
Fax Number	:	704-376-2216

Provider Business Practice Location Address
First Line	:	2600 E 7TH ST UNIT A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-4398
Country	:	US
Telephone Number	:	704-372-7900
Fax Number	:	704-376-2216

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN GRAY NORRIS
Credential	:	MD
Telephone Number	:	704-372-7900

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	02/11/2026

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