Active NPI
Carter Clinic PA
- Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1972990877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CARTER CLINIC PA
- Practice address
- 603 Eastwood Rd
Wilmington, NC 28403-1819 - Phone
- (919) 848-0132
- NPI assigned
- Apr 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myleme Harrison
- Title
- Ceo
- Phone
- (919) 848-0132
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
603 Eastwood Rd
Wilmington, NC 28403-1819
Mailing address
PO Box 99778
Raleigh, NC 27624-9778
Phone (919) 848-0132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091216000437 | NC | Part B Supplier - Clinic/Group Practice | 1254429921 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Raleigh, NC |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
603 Eastwood Rd
Wilmington, NC 28403
Phone (910) 550-2332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1972990877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99778",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276249778",
"telephone_number": "919-848-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 EASTWOOD RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031819",
"telephone_number": "919-848-0132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARTER CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "MYLEME",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-848-0132"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.