NPIMap

Organization Active NPI

Carolina Complete Psychiatry, PLLC

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1699151985
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mrs. Rachel L. Holzhauer, PA-CNPI 1396081998
Title
PA-C/Owner
Phone
(704) 503-9884

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 0100-04002 NC Primary

Addresses

Primary practice location

5950 Fairview Road
Suite 708
Charlotte, NC 28210

Mailing address

5950 Fairview Road
Suite 708
Charlotte, NC 28210
Phone (704) 503-9884

National Provider Directory

National Provider Directory

Locations

5950 Fairview Rd
Ste 708
Charlotte, NC 28210
Phone (704) 800-5230

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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": []
}

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 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.