CAROLINAS MEDICAL CENTER (NPI# 1629412184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629412184 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER |
| Other Organization Name | CAROLINAS PSYCHIATRY AND BEHAVIORAL WELLNESS |
| Practice Address |
16740 Davidson Concord Rd Ste 200 Davidson NC 28036-8746 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7048019200 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas Psychiatry and Behavioral Wellness | Doing Business As Name - Organization |
| Carolinas Psychiatry and Behavioral Wellness | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998575 | Carolinas Medical Center | General Acute Care Hospital | 2001 Vail Ave., Charlotte, NC 28207-1219 | 2014-10-24 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1366558959 | Carolinas Medical Center | Pharmacy | 1350 S Kings Dr Ste 101, Charlotte, NC 28207-2134 | 2006-08-23 |
| 1063900405 | Carolinas Medical Center | Internal Medicine | 126 Milestone Way, Greenville, SC 29615-5065 | 2018-05-01 |
| 1780197335 | Carolinas Medical Center | Internal Medicine | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2017-11-06 |
| 1578086187 | Carolinas Medical Center | Internal Medicine | 10502 Park Rd, Suite 110, Charlotte, NC 28210-8479 | 2017-07-25 |
| 1821467911 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2015-09-18 |
| 1346648235 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-12-09 |
| 1962825166 | Carolinas Medical Center | Surgery | 200 Medical Park Dr, Ste 320, Concord, NC 28025-2982 | 2014-01-24 |
| 1851712582 | Carolinas Medical Center | Family Medicine | 10650 Park Rd, Charlotte, NC 28210-8538 | 2013-12-24 |
| Street Address |
16740 DAVIDSON CONCORD RD STE 200 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036-8746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295786713 | Brenda Goodman | Nurse Practitioner | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2006-05-12 |
| 1891340501 | Sekou Dakarai | Nurse Practitioner | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2019-08-08 |
| 1750849352 | Patricia Celley | Nurse Practitioner | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2019-03-04 |
| 1851743892 | Robert Looper | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2016-07-01 |
| 1316391345 | William Wolters Jr. | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2016-04-15 |
| 1861863987 | William Taylor Darsey | Social Worker | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2015-10-15 |
| 1588061824 | Carolyn O'lenic | Registered Nurse | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2014-12-02 |
| 1518363621 | Gillian Wilson | Counselor | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2014-11-17 |
| 1326448895 | Alaina Duncan | Nurse Practitioner | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2014-09-03 |
| 1033522958 | Lynneice Bowen | Psychiatry & Neurology | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134323454 | Terence Charles Feir | Psychiatry & Neurology | 624 Wolfe St., Davidson, NC 28036-5371 | 2007-06-12 |
| 1770181620 | Centia Health LLC | Psychiatry & Neurology | 108 S Main St, Davidson, NC 28036-8096 | 2020-10-13 |
| 1851743892 | Robert Looper | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2016-07-01 |
| 1316391345 | William Wolters Jr. | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2016-04-15 |
| 1033522958 | Lynneice Bowen | Psychiatry & Neurology | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2014-06-09 |
| 1891051009 | Virginia Litz | Psychiatry & Neurology | 16740 Davidson Concord Rd, Suite 200, Davidson, NC 28036-8746 | 2012-04-02 |
| 1568758027 | Clemence Nyandjo | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2011-06-23 |
| 1588955520 | Nicole Aho | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2011-04-25 |
| 1477852234 | Tyler Dodds | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2011-03-19 |
| 1639407448 | Noel Ibanez | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2009-12-07 |
| Find all providers in DAVIDSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.