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

Carolina Vascular Specialists, PA

Organization Vascular Surgery Physician · NPI 1750671723

Carolina Vascular Specialists, PA provides Vascular Surgery Physician services in Mooresville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

146 Medical Park Rd Ste 102
Mooresville, NC 28117-8528 Not confirmed with CMS for 14 years — call before visiting
Phone: (704) 799-3939
Fax: (704) 799-8748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1750671723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Tarry — Owner/Provider · (704) 799-3939
NPI enumeratedApril 12, 2011
Last updated in NPPESOctober 13, 2011
Mailing address146 Medical Park Rd, Suite 102, Mooresville, NC 28117-8528