Organization Active NPI

Carolina Community Group Triad

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1881521813
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA COMMUNITY GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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)CodeLicenseStatePrimary
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.

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

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.

Verify at the official NPI Registry.