Active NPI
Carolina Community Group Triad
- Non-emergency Medical Transport (VAN)
- Charlotte, NC
National Provider Identifier
1881521813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CAROLINA COMMUNITY GROUP TRIAD
- Practice address
- 2818 Queen City Dr Ste N
Charlotte, NC 28208-2736 - Phone
- (704) 912-4505
- NPI assigned
- May 5, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- Yes
- Parent organization
- CAROLINA COMMUNITY GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivory D Bethea
- Title
- Director
- Phone
- (704) 582-1793
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Taxi | 344600000X | |||
| Bus | 347B00000X |
Addresses
Primary practice location
2818 Queen City Dr Ste N
Charlotte, NC 28208-2736
Mailing address
2818 Queen City Dr Ste N
Charlotte, NC 28208-2736
Phone (704) 912-4505
National Provider Directory
National Provider Directory- Part of
- Carolina Community Group
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1093447666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1881521813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 QUEEN CITY DR STE N",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082736",
"telephone_number": "704-912-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 QUEEN CITY DR STE N",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082736",
"telephone_number": "704-912-4505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA COMMUNITY GROUP TRIAD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINA COMMUNITY GROUP",
"enumeration_date": "2026-05-05",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "BETHEA",
"authorized_official_first_name": "IVORY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-582-1793"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Carolina Chiropractic of Charlotte
- Carolina Clinical Research, LLC
- Carolina Communication Consultants, LLC
- Carolina Community Group
- Carolina Community Group
- Carolina Community Intervention Services, LLC
- Carolina Complete Psychiatry, PLLC
- Carolina Compound, LLC (Carolina Compound & Nutritional Pharmacy)
- Carolina Concierge Therapeutics, PLLC (Carolina Therapeutics)
- Carolina Counseling Co PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.