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BCBS North Carolina Doctors in Carolina Shores, NC

12 in-network providers across 7 specialties and 4 plans

12 Providers
7 Specialties
BCBS North Carolina’s North Carolina network spans 88,632 providers. Carolina Shores contributes 12 in-network providers. under 1% of the statewide total. The largest BCBS North Carolina footprint in North Carolina is in Charlotte (13,079 providers).
Showing 112 of 12 providers·
RH
Richard Haire, PA
Physician Assistant
Novant Health Medical Group, Llc
75 Emerson Bay Rd, Carolina Shores, NC 28467
29 years experience · Other
BCBS North Carolina✓ Medicare5 plans

About BCBS North Carolina Coverage in Carolina Shores

BCBS North Carolina operates 4 distinct networks in Carolina Shores, NC, with a combined in-network roster of 12 doctors across 7 medical specialties. Among the five largest insurers we track in Carolina Shores, BCBS North Carolina ranks #1 by provider count. Use this page to confirm a specific provider is in-network, understand which BCBS North Carolina networks have the widest reach in Carolina Shores, and compare coverage against other major insurers before scheduling care.

BCBS North Carolina publishes its Carolina Shores directory at the network level rather than the consumer-plan level. The labels on each row below (for example Blue Value (LCST)) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.

Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.

BCBS North Carolina Networks in Carolina Shores

BCBS North Carolina contracts with doctors at the network level in Carolina Shores. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.

Plan / NetworkTypeDoctors

Blue Value (LCST)

12

Comprehensive Major Medical Network (CMMN)

12

Preferred Provider Network (PPN)

12

Blue High Performance

4

Top Specialties Accepting BCBS North Carolina

BCBS North Carolina’s Carolina Shores network spans 7 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.

Click any specialty below to see a filtered list of just those in-network providers in Carolina Shores, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.

Physician Experience in BCBS North Carolina’s Carolina Shores Network

Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For BCBS North Carolina’s Carolina Shores network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.

A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.

Median14years of experience
30 BCBS North Carolina providers in Carolina Shores with graduation-year data
Early career0–5 yrs
0providers
0%
Established6–15 yrs
18providers
60%
Senior16–30 yrs
7providers
23%
Veteran30+ yrs
5providers
17%

Telehealth Coverage in Carolina Shores

1 of 12 BCBS North Carolina in-network providers (8%) offer telehealth visits in Carolina Shores. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.

Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your BCBS North Carolina member ID to confirm your plan covers the visit type you need.

Top specialties offering telehealth in Carolina Shores

Top Hospitals Serving BCBS North Carolina Patients in Carolina Shores

Hospitals with the most BCBS North Carolina-network physicians practicing there. Large affiliation counts indicate that BCBS North Carolina has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.

Hospital coverage is a separate contract from physician coverage. your BCBS North Carolina plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.

Coverage Compared in Carolina Shores

Side-by-side provider counts for the five largest commercial and government insurers tracked in Carolina Shores. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.

If BCBS North Carolina’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Carolina Shores provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Nearby Cities with BCBS North Carolina Coverage

Cities closest to Carolina Shores where BCBS North Carolina has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.

The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s BCBS North Carolina network size. a small count doesn’t mean no coverage, just that your in-Carolina Shores options are likely more plentiful.

Frequently Asked Questions

Common questions about BCBS North Carolina coverage in Carolina Shores

How do I find an BCBS North Carolina in-network doctor in Carolina Shores, NC?

BCBS North Carolina has 12 in-network providers across 7 medical specialties in Carolina Shores. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.

Which hospitals in Carolina Shores accept BCBS North Carolina?

Hospitals where BCBS North Carolina doctors most commonly practice in Carolina Shores include NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER, NOVANT HEALTH BRUNSWICK MEDICAL CENTER, MCLEOD LORIS HOSPITAL, NOVANT HEALTH FORSYTH MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your BCBS North Carolina plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.

Which medical specialties have the most BCBS North Carolina providers in Carolina Shores?

BCBS North Carolina's Carolina Shores network is largest in Mental Health Counselor (3), Nurse Practitioner (2), Certified Nurse Midwife (cnm) (2). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.

Why don't I see specific BCBS North Carolina plan names like Bronze or Silver?

BCBS North Carolina files its Carolina Shores provider directory at the network level rather than by consumer plan name. The labels above (such as Blue Value (LCST)) are the network identifiers BCBS North Carolina uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.

How do I verify a doctor is in-network with BCBS North Carolina?

Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific BCBS North Carolina plan, and third check BCBS North Carolina's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.

What if my doctor isn't listed here?

This list reflects BCBS North Carolina's submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept BCBS North Carolina, then check BCBS North Carolina's own member portal for confirmation.

When was this BCBS North Carolina data last updated?

The BCBS North Carolina Carolina Shores provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.

Related healthcare resources

Patient resources for Carolina Shores BCBS North Carolina members.

Data freshness

Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly