Mid Carolina Psychiatry, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MID CAROLINA PSYCHIATRY, PA

Practice address

210 N Church St Unit 1015
Charlotte, NC 28202-2264

Phone

(704) 209-9470

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Keith Logan, MD

Title

Owner

Phone

(704) 209-9470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1477484863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CHURCH ST UNIT 1015",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CHURCH ST UNIT 1015",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022264",
            "telephone_number": "704-209-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CAROLINA PSYCHIATRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-209-9470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith A Mickalis
• Marcus Mickell
• Kenyah Monet Mickens-Smith, LMFT, LCAS
• Micum Health PLLC
• Mid Carolina Cardiology 2LLC
• Mid-Atlantic Emergency Medical Associates, PLLC
• Mid-Charlotte Dermatology and Research PLLC
• Midas Homecare Services Inc
• Midas Homecare Services Inc
• Midcarolina Pediatrics

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, 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 May 26, 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.