Organization Active NPI

A Genius Mind Academy

  • Developmental Disabilities Clinic/Center
  • Charlotte, NC
National Provider Identifier
1003788076
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
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

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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": []
}

Other providers in Charlotte, NC

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.

Verify at the official NPI Registry.