Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Pines Medical, PC

Organization Family Medicine Physician · NPI 1164677332

Carolina Pines Medical, PC provides Family Medicine Physician services in Jacksonville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3215 Henderson Dr
Jacksonville, NC 28546-5251 Not confirmed with CMS for 17 years — call before visiting
Phone: (910) 347-5444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 200301290 (NC)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 200301290 (NC)

Record details

NPI number1164677332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shusko — President · (910) 347-5444
Other names Carolina Pines Wellness Center
NPI enumeratedDecember 1, 2008
Last updated in NPPESFebruary 10, 2009
Mailing address3215 Henderson Dr, Jacksonville, NC 28546-5251

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