Active NPI
A Genius Mind Academy
- Developmental Disabilities Clinic/Center
- Charlotte, NC
National Provider Identifier
1003788076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- A GENIUS MIND ACADEMY
- Practice address
- 11243 Pointer Ridge Dr
Charlotte, NC 28214-0014 - Phone
- (704) 390-5968
- NPI assigned
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paris Midcalf
- Title
- Founder/Executive Director
- Phone
- (704) 390-5968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
11243 Pointer Ridge Dr
Charlotte, NC 28214-0014
Mailing address
11243 Pointer Ridge Dr
Charlotte, NC 28214-0014
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1003788076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11243 POINTER RIDGE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282140014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11243 POINTER RIDGE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282140014",
"telephone_number": "704-390-5968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A GENIUS MIND ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MIDCALF",
"authorized_official_first_name": "PARIS",
"authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-390-5968"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.