Healthcare Provider Details

I. General information

NPI: 1851094734
Provider Name (Legal Business Name): CASEY CARLBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 E US 64 ALT
MURPHY NC
28906-6843
US

IV. Provider business mailing address

331 SONG BIRD DR
CLEVELAND GA
30528-2008
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-8161
  • Fax:
Mailing address:
  • Phone: 850-933-6588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026-04428
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: