Carolina Community Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA COMMUNITY GROUP

Practice address

2818 Queen City Dr Ste E
Charlotte, NC 28208-2736

Phone

(704) 582-1793

NPI assigned

Jun 30, 2022

Organization subpart

No

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 2

Addresses

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carolina Community Group

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1558230060
  NPPES parent name
• Carolina Community Group Triad

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1881521813
  NPPES parent name

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1093447666",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 QUEEN CITY DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082736",
            "telephone_number": "704-582-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 E Independence Blvd",
            "address_2": "416",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28205",
            "country_code": "US",
            "telephone_number": "704-582-1793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 Queen City Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282082758",
            "country_code": "US",
            "telephone_number": "704-912-4505",
            "fax_number": "704-397-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA COMMUNITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Center for Women
• Carolina Chiropractic Group University PLLC
• Carolina Chiropractic of Charlotte
• Carolina Clinical Research, LLC
• Carolina Communication Consultants, LLC
• Carolina Community Group
• Carolina Community Group Triad
• Carolina Community Intervention Services, LLC
• Carolina Complete Psychiatry, PLLC
• Carolina Compound, LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, 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 May 13, 2026; 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.