NPIMap

Organization Active NPI

Carter Clinic, PA

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Hickory, NC
National Provider Identifier
1679079537
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
CARTER CLINIC, PA
Practice address
260 1St Ave NW Ste 215
Hickory, NC 28601-6161
Phone
(919) 423-0267
NPI assigned
Mar 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Myleme Ojina Harrison, MDNPI 1164477691
Title
Ceo
Phone
(919) 848-0132

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

260 1St Ave NW Ste 215
Hickory, NC 28601-6161

Mailing address

6026 Six Forks Rd
Raleigh, NC 27609-3899
Phone (919) 848-0132

National Provider Directory

National Provider Directory
Tax ID family
Carter Clinic PA16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

260 1st Ave NW
Ste 215
Hickory, NC 28601
Phone (919) 423-0267

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": "1522454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1679079537",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 1ST AVE NW STE 215",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016161",
            "telephone_number": "919-423-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MYLEME",
        "authorized_official_middle_name": "OJINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-848-0132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.