Active NPI
Carter Clinic, PA
- Psychiatry Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CARTER CLINIC, PA
- Practice address
- 2151 Skibo Rd
Fayetteville, NC 28314-0252 - Phone
- (919) 848-0132
- NPI assigned
- Apr 19, 2012
- Last updated
- Aug 29, 2023
- 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
- Myleme Harrison, MD
- Title
- Ceo
- Phone
- (919) 848-0132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Ambulatory Care Registered Nurse | 163WP2201X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
2151 Skibo Rd
Fayetteville, NC 28314-0252
Mailing address
PO Box 99778
Raleigh, NC 27624-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091216000437 | NC | Part B Supplier - Clinic/Group Practice | 1254429921 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Raleigh, NC |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1164477691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693267200000",
"number": "1083971642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99778",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276249778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 SKIBO RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140252",
"telephone_number": "919-848-0132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTER CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "MYLEME",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-848-0132",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Ambulatory Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.