CENTRAL CAROLINA SURGICAL, PA
NPI 1255302899
Surgery in Sanford, NC

NPI Status: Active since January 31, 2006

Contact Information

1139 CARTHAGE ST
SUITE 110
SANFORD, NC
ZIP 27330
Phone: (919) 775-7232
Fax: (919) 775-1731

Get Directions Reviews

  • Organization
  • Surgery
  • CLIA Number: 34D1014959
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-09-2026

About CENTRAL CAROLINA SURGICAL, PA

This page provides the complete NPI Profile along with additional information for Central Carolina Surgical, Pa, a provider established in Sanford, North Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1255302899 assigned on January 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Central Carolina Surgical, Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shelia Fish (Office Manager)

NPI
1255302899
Provider Name
CENTRAL CAROLINA SURGICAL, PA
Entity Type
Organization
Location Address
1139 CARTHAGE ST SUITE 110 SANFORD, NC 27330
Location Phone
(919) 775-7232
Location Fax
(919) 775-1731
Mailing Address
1139 CARTHAGE ST SUITE 110 SANFORD, NC 27330
Mailing Phone
(919) 775-7232
Mailing Fax
(919) 775-1731
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2006
Last Update Date
05-25-2010
Code Navigator

A surgeon like Central Carolina Surgical, Pa treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208800000XAllopathic & Osteopathic Physicians

Urology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELIA FISH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(919) 775-7232

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2334329MEDICARE PIN (08)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D1014959
Facility Type
Physician Office
Certificate Effective Date
December 10, 2024
Certificate Expiration Date
December 09, 2026
Laboratory Director
DR. STEVEN M. JURISCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Carolina Surgical, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CENTRAL CAROLINA SURGICAL, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255302899
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105604818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 0 + 4 + 8 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1255302899 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629063474 WILLIAM HENRY PURVIS MD
Individual
Urology1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330
(919) 775-7232
1962733873 CHARLES ALLAN EURE M.D.
Individual
Internal Medicine1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330
(919) 774-2195
1063743979 GERALD WAYNE BLAKE M.D.
Individual
Internal Medicine1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330
(919) 774-2195
1932566478DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Organization
Surgery1139 CARTHAGE ST STE 110-B
SANFORD, NC 27330
(615) 920-7000
1205293743DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Organization
Internal Medicine1139 CARTHAGE ST ST 110-A
SANFORD, NC 27330
(615) 920-7000
1144658311CENTRAL CAROLINA-IMA, LLC
Organization
Internal Medicine1139 CARTHAGE ST STE 110
SANFORD, NC 27330
(919) 774-2195
1316485410DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Organization
Surgery1139 CARTHAGE ST SUITE 110-B
SANFORD, NC 27330
(919) 775-3123
1073854659 ANNA RENEE KNOWLES PA
Individual
Physician Assistant (Medical)1139 CARTHAGE ST SUITE 101
SANFORD, NC 27330
(919) 774-1355
1306805767INTERNAL MEDICINE ASSOCIATES, PA
Organization
Internal Medicine1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330
(919) 774-2195
1396731485DR. STEVEN MICHAEL JURISICH MD
Individual
Surgery1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330
(919) 775-7232
1447210182DR. GERARD J O'DONNELL MD
Individual
Internal Medicine1139 CARTHAGE ST SUITE 110
SANFORD, NC 27330
(919) 774-2195
1649298795DR. THOMAS CALDWELL PHILLIPS III M.D.
Individual
Internal Medicine (Nephrology)1139 CARTHAGE ST MEDICAL ARTS BUILDING SUITE 105
SANFORD, NC 27330
(919) 774-2875
1851379168SANFORD NEPHROLOGY CLINIC PA
Organization
Internal Medicine (Nephrology)1139 CARTHAGE ST STE 105
SANFORD, NC 27330
(919) 774-2875
1205024007CENTRAL CAROLINA ORTHOPAEDIC
Organization
Specialist1139 CARTHAGE ST SUITE 101
SANFORD, NC 27330
(919) 774-1355
1659810455DLP CENTRAL CAROLINA MEDICAL GROUP LLC
Organization
Internal Medicine1139 CARTHAGE ST SUITE 110-A
SANFORD, NC 27330
(919) 774-2195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255302899, enumerated in the NPI registry as an "organization" on January 31, 2006

The provider is located at 1139 Carthage St Suite 110 Sanford, Nc 27330 and the phone number is (919) 775-7232

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D1014959 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.