Active NPI
Carter Clinic, P a
- Psychiatry Physician
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CARTER CLINIC, P A
- Practice address
- 2409 N Elm St
Lumberton, NC 28358-3658 - Phone
- (910) 689-5333
- Fax
- (910) 703-8632
- NPI assigned
- Jul 13, 2018
- Last updated
- Jul 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myleme Ojinga Harrison
- Title
- Ceo
- Phone
- (919) 848-0132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
2409 N Elm St
Lumberton, NC 28358-3658
Mailing address
6026 Six Forks Rd
Raleigh, NC 27609-3899
Phone (919) 848-0132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091216000437 | NC | Part B Supplier - Clinic/Group Practice | 1254429921 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Raleigh, NC |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1164477691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531440000000",
"number": "1558847434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6026 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093899",
"telephone_number": "919-848-0132",
"fax_number": "919-848-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 N ELM ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583658",
"telephone_number": "910-689-5333",
"fax_number": "910-703-8632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTER CLINIC, P A",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "MYLEME",
"authorized_official_middle_name": "OJINGA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-848-0132"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.