Individual provider Active NPI

Pamela J Wright-Etter, MD

  • Forensic Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1174619001
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
32917 Issued in NC
Practice address
3623 Latrobe Dr
Suite 121
Charlotte, NC 28211-4864
Phone
(704) 375-7579
Fax
(704) 344-8704
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 32917 NC Primary

Addresses

Primary practice location

3623 Latrobe Dr
Suite 121
Charlotte, NC 28211-4864

Mailing address

3623 Latrobe Dr
Suite 121
Charlotte, NC 28211-4864
Phone (704) 907-0244

Other names 1

  • Dr. Pamela J Wright-Mescher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000021 NC Practitioner - Psychiatry 1355407248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32917NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Jun 1, 2018 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jun 1, 2018 Accepting new patients
Carolina Therapeutic Solutions Past Accepting new patients

Locations

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1174619001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR",
            "address_2": "SUITE 121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114864",
            "telephone_number": "704-907-0244",
            "fax_number": "704-344-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR",
            "address_2": "SUITE 121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114864",
            "telephone_number": "704-375-7579",
            "fax_number": "704-344-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-ETTER",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NC",
            "license": "32917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WRIGHT-MESCHER",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.