Organization Active NPI

New Bethel Community Restoration Center LLC

  • Integrative Medicine Physician
  • Charlotte, NC
National Provider Identifier
1538090881
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
NEW BETHEL COMMUNITY RESTORATION CENTER LLC
Practice address
1520 Little Rock Rd
Charlotte, NC 28214-2317
Phone
(704) 352-9591
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Tiffanie Adams, PACNPI 1457600033
Title
Founder
Phone
(704) 352-9591

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
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

1520 Little Rock Rd
Charlotte, NC 28214-2317

Mailing address

1520 Little Rock Rd
Charlotte, NC 28214-2317
Phone (704) 352-9591

National Provider Directory

National Provider Directory

Locations

1520 Little Rock Rd
Charlotte, NC 28214
Phone (704) 352-9591

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": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1538090881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LITTLE ROCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142317",
            "telephone_number": "704-352-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LITTLE ROCK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282142317",
            "telephone_number": "704-352-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BETHEL COMMUNITY RESTORATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "704-352-9591",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • 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.