Individual provider Active NPI

Ismail Camara, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1891448619
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5316 Issued in NC
Practice address
5200 Park Rd Ste 117
Charlotte, NC 28209-3669
Phone
(704) 703-5232
NPI assigned
Feb 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5316 NC Primary

Addresses

Primary practice location

5200 Park Rd Ste 117
Charlotte, NC 28209-3669

Mailing address

4932 Penny Point PL
Charlotte, NC 28212-8569
Phone (704) 605-5069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000349 NC Practitioner - Chiropractic 5496271066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Chiropractic Group PLLCGroup PAC ID 7012280670, 5 clinicians
Carolina Chiropractic Group of Gastonia PLLCGroup PAC ID 1153778329, 4 clinicians

Practice addresses (Care Compare)

145 W Dixon Blvd
Shelby, NC 28152-6546
Phone (704) 482-0135

528 Union Rd
Gastonia, NC 28054-4450
Phone (704) 867-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5316NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Chiropractic Group PLLC Chiropractor CurrentSince Feb 10, 2026 Accepting new patients
Carolina Chiropractic Group of Gastonia PLLC Chiropractor CurrentSince Apr 23, 2025 Accepting new patients

Locations

528 Union Rd
Gastonia, NC 28054
Phone (704) 867-1010

145 W Dixon Blvd
Shelby, NC 28152
Phone (704) 482-0135

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1891448619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 PENNY POINT PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128569",
            "telephone_number": "704-605-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD STE 117",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093669",
            "telephone_number": "704-703-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARA",
        "first_name": "ISMAIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5316",
            "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 Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.