Healthcare Provider Details

I. General information

NPI: 1538443254
Provider Name (Legal Business Name): GENESISCARE USA OF NORTH CAROLINA, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2011
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date: 07/11/2019
Reactivation Date: 07/19/2019

III. Provider practice location address

1 DOCTORS PARK
ASHEVILLE NC
28801-4500
US

IV. Provider business mailing address

100 HOSPITAL DR
HENDERSONVILLE NC
28792-5272
US

V. Phone/Fax

Practice location:
  • Phone: 828-253-5314
  • Fax: 828-254-5216
Mailing address:
  • Phone: 828-687-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN BURROUGHS
Title or Position: CFO
Credential:
Phone: 828-681-2102