Carolina Community Group Cabarrus

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA COMMUNITY GROUP CABARRUS

Practice address

11 Union St S Ste 310
Concord, NC 28025-5073

Phone

(704) 912-4505

NPI assigned

Aug 25, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

993424109As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivory D Bethea

Title

Director

Phone

(704) 582-1793

Specialties & licenses 1

Addresses

Tax ID family

Carolina Community Group Cabarrus2 organizations share this tax ID, including this one

Part of

Carolina Community Group Cabarrus

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Community Group Cabarrus

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1982573416
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1043198211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 QUEEN CITY DR STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082758",
            "telephone_number": "704-912-4505",
            "fax_number": "704-912-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE 310",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255073",
            "telephone_number": "704-912-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMMUNITY GROUP CABARRUS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "993424109",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-582-1793"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hearts of Grace Homecare Agency, LLC
• Deandre Carlton
• Cahner Marie Carmichael, MA, MSW, LCSW, RPT
• Sean Carney
• Carolina Behavioral Medicine, PA
• Carolina Community Group Cabarrus
• Carolina Counseling Inc.
• Carolina ENT Specialists, PA
• Carolina International School
• Carolina Med-Plus Inc

• Community/Behavioral Health Agency in Concord, NC
• Providers in Concord, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.