NPIMap

Organization Active NPI

The Carter Clinic, PA

  • Psychiatry Physician
  • Bennettsville, SC
National Provider Identifier
1265839161
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THE CARTER CLINIC, PA
Practice address
106 E. Market Street
Suite 1a
Bennettsville, SC 29512-3129
Phone
(843) 439-0253
NPI assigned
Nov 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Myleme HarrisonNPI 1164477691
Title
Ceo
Phone
(919) 848-0132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

106 E. Market Street
Suite 1a
Bennettsville, SC 29512-3129

Mailing address

PO Box 99778
Raleigh, NC 27624-9778
Phone (919) 848-0132

National Provider Directory

National Provider Directory
Tax ID family
Carter Clinic PA16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1265839161",
    "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",
            "telephone_number": "919-848-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E. MARKET STREET",
            "address_2": "SUITE 1A",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123129",
            "telephone_number": "843-439-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARTER CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.