Prodigy Solutions, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRODIGY SOLUTIONS, LLC

Practice address

416 McCullough Dr.
Suite 120
Charlotte, NC 28262

Phone

(704) 231-4516

Fax

(704) 919-5690

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luther Sherard Douglas

Title

President

Phone

(704) 231-4516

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1588853378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR.",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-971-4270",
            "fax_number": "704-971-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR.",
            "address_2": "SUITE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-231-4516",
            "fax_number": "704-919-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "LUTHER",
        "authorized_official_middle_name": "SHERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-231-4516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Pharmacy, LLC
• Keyonda Proctor
• Maggie Reed Proctor, PA-C
• Procure Therapeutic Agency, Inc
• Prodigy Diabetes Care, LLC
• Professional Behavior Innovations
• Professional Care Community Service
• Professional Care Community Services
• Professional Care Home Health
• Professional Care Home Health Services

• Case Management Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.