Carolina Complete Psychiatry, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0100-04002 Issued in NC

Legal business name

CAROLINA COMPLETE PSYCHIATRY, PLLC

Practice address

5950 Fairview Road
Suite 708
Charlotte, NC 28210

Phone

(704) 503-9884

Fax

(704) 870-3968

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel L. Holzhauer, PA-C

Title

PA-C/Owner

Phone

(704) 503-9884

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Hack Stettner, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1760901755
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1699151985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW ROAD",
            "address_2": "SUITE 708",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-503-9884",
            "fax_number": "704-870-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW ROAD",
            "address_2": "SUITE 708",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-503-9884",
            "fax_number": "704-870-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPLETE PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "HOLZHAUER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PA-C/OWNER",
        "authorized_official_telephone_number": "704-503-9884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0100-04002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Communication Consultants, LLC
• Carolina Community Group
• Carolina Community Group
• Carolina Community Group Triad
• Carolina Community Intervention Services, LLC
• Carolina Compound, LLC
• Carolina Concierge Therapeutics, PLLC
• Carolina Counseling Co PLLC
• Carolina Counseling Group, LLC
• Carolina Cross Connection, Inc

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.