MEDICARE: CAROLINA MEDICORP ENTERPRISES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207P00000X	Emergency Medicine Physician
3	363A00000X	Physician Assistant
4	363L00000X	Nurse Practitioner

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

General Provider Information

NPI Number	:	1053379933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA MEDICORP ENTERPRISES INC

Provider Business Mailing Address
First Line	:	2000 FRONTIS PLAZA BLVD STE 200
Second Line	:	(ATTN) FORSYTH MEDICAL GROUP
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-5616
Country	:	US
Telephone Number	:	336-277-2435
Fax Number	:	336-277-9275

Provider Business Practice Location Address
First Line	:	7811 N POINT BLVD
Second Line	:	DBA PRIMECARE NORTH POINT
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-3209
Country	:	US
Telephone Number	:	336-759-0700
Fax Number	:	336-759-2226

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	PAUL M. BARRY
Credential	:	MD
Telephone Number	:	336-774-0040

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/11/2025

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