Carter Clinic, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CARTER CLINIC, PA

Practice address

2151 Skibo Rd
Fayetteville, NC 28314-0252

Phone

(919) 848-0132

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carter Clinic PA

  • Psychiatry Physician
  • Smithfield, NC
  • NPI 1477810034

  O20091216000437

  Same enrollment
• Carter Clinic PA

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1972990877

  O20091216000437

  Same enrollment
• Carter Clinic, P a

  • Psychiatry Physician
  • Elizabethtown, NC
  • NPI 1063981967

  O20091216000437

  Same enrollment
• Carter Clinic, P a

  • Psychiatry Physician
  • Lumberton, NC
  • NPI 1558847434

  O20091216000437

  Same enrollment
• Carter Clinic, P a

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1912959834

  O20091216000437

  Same enrollment
• Carter Clinic, P.a.

  • Psychiatry Physician
  • Wilson, NC
  • NPI 1588211049

  O20091216000437

  Same enrollment
• Carter Clinic, PA

  • Psychiatry Physician
  • Whiteville, NC
  • NPI 1205307063

  O20091216000437

  Same enrollment
• Carter Clinic, PA

  • Psychiatry Physician
  • Dunn, NC
  • NPI 1215461231

  O20091216000437

  Same enrollment

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916438",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Carruth
• Crysta Carson, LCMHCA
• Michele Kay Carson, NP
• Nyshel Joy Carstarphen
• Carter Clinic, P.a.
• Carter Clinic, PA
• Carter Clinic, PA
• Brittany M Carter
• Cynthia Janelle Carter, MS,CCC,SLP
• Delena Chanell Carter, LCSWA

• Psychiatry Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychiatry Physician in North Carolina

• 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.

Verify at the official NPI Registry.