Medicine Wheel Healing Art, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19167 Issued in SC

Legal business name

MEDICINE WHEEL HEALING ART, LLC

Practice address

1040 Edgewater Corp Pkwy Ste 101
Indian Land, SC 29707-4514

Phone

(704) 905-8834

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth O Carter, M.D.

Title

Ceo

Phone

(704) 905-8834

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1497144778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROYAL CT",
            "address_2": "UNIT 1008",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022748",
            "telephone_number": "704-905-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORP PKWY STE 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074514",
            "telephone_number": "704-905-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE WHEEL HEALING ART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-905-8834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "19167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah McCurty, D.P.T.
• Cedrick Brown McDonald, DDS
• Elizabeth H McKinnon, PT
• Mecklenburg Medical Group (Atrium Health Primary Care Carolina Lakes Internal Medicine)
• Mecklenburg Medical Group
• Metrolina Eye Associates, PLLC
• Mercedes Marie Meyer, DNP FNP
• Ro-Derick Donte' Middleton, PHARMD
• Cody Stephen Miller, DMD
• Paul Lloyd Moore, LCSWA

• Psychiatry Physician in Indian Land, SC
• Providers in Indian Land, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.