Impact Carolina Services Inc

PAC ID

7719019355The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

NC

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Impact Carolina Services Inc.

  • Mental Health Counselor
  • Lincolnton, NC
  • NPI 1376789925
• Impact Carolina Services, Inc

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1619285756

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

• Esther Adedokun, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, SC
  • NPI 1285379081
• Joseph Olatunde Adedokun, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Gastonia, NC
  • NPI 1760542062
• Novlett Sandramae Campbell

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
  • NPI 1326462524

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.