CAROLINAS MEDICAL CENTER


Address: 501 Billingsley Road, Chs Behavioral Health Charlotte Administration, Charlotte, NC 28211-1009
Phone: 7043582710

CAROLINAS MEDICAL CENTER (NPI# 1174788897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174788897
Entity Type Organization
Organization Name CAROLINAS MEDICAL CENTER
Other Organization Name AH BEHAVIORAL HEALTH ASSERTIVE COMMUNITY TREATMENT TEAM
Practice Address 501 Billingsley Road
Chs Behavioral Health Charlotte Administration
Charlotte
NC 28211-1009
Practice Telephone 7043582710
Practice Fax Number 7043582938
Mailing Telephone 7043582710
Mailing Fax Number 7043582938
Enumeration Date 2008-07-22
Last Update Date 2019-08-21
Authorized Official Name MR. ANTHONY DEFURIO (EVP AND CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 7043553304
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 8300443 05

Other Provider/Organization Names

Other Name Type Code
AH Behavioral Health Assertive Community Treatment Team Other Name - Individual/Organization
Atrium Health Behavioral Health Doing Business As Name - Organization
CHS Behavioral Health Assertive Community Treatment Team Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871998575 Carolinas Medical Center General Acute Care Hospital 2001 Vail Ave., Charlotte, NC 28207-1219 2014-10-24
1750546347 Carolinas Medical Center Clinic/Center 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 2008-07-23
1366558959 Carolinas Medical Center Pharmacy 1350 S Kings Dr Ste 101, Charlotte, NC 28207-2134 2006-08-23
1063900405 Carolinas Medical Center Internal Medicine 126 Milestone Way, Greenville, SC 29615-5065 2018-05-01
1780197335 Carolinas Medical Center Internal Medicine 11 Gateway Corners Park, Columbia, SC 29203-8902 2017-11-06
1578086187 Carolinas Medical Center Internal Medicine 10502 Park Rd, Suite 110, Charlotte, NC 28210-8479 2017-07-25
1821467911 Carolinas Medical Center General Acute Care Hospital 1000 Blythe Blvd, Charlotte, NC 28203-5812 2015-09-18
1346648235 Carolinas Medical Center General Acute Care Hospital 1000 Blythe Blvd, Charlotte, NC 28203-5812 2014-12-09
1962825166 Carolinas Medical Center Surgery 200 Medical Park Dr, Ste 320, Concord, NC 28025-2982 2014-01-24
1851712582 Carolinas Medical Center Family Medicine 10650 Park Rd, Charlotte, NC 28210-8538 2013-12-24

Office Location

Street Address 501 BILLINGSLEY ROAD
CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION
City CHARLOTTE
State NC
Zip Code 28211-1009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316970502 Misty L. Collier Psychologist 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2006-07-09
1982034567 Kathleen Kelly Mezwicki Social Worker 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2013-11-19
1275804791 Jacqueline W. Shields Social Worker 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2012-01-13
1821395625 Allan T. Howe Social Worker 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2011-02-15
1669792503 Carolinas Medical Center Clinic/Center 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2010-06-02
1093958217 Claire Nicole Jones Social Worker 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2009-04-17
1104061993 John Mark Jackson Counselor 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2008-12-08
1972768661 Carolinas Medical Center Community/Behavioral Health 501 Billingsley Road, Chs Behavioral Health Charlotte Administration, Charlotte, NC 28211-1009 2008-07-23
1124281290 Carolinas Medical Center Clinic/Center 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2008-07-08
1073797213 Amy Crane Magas Social Worker 501 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 2007-12-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053925099 Essential Pathways Counseling and Consulting, Pllc Community/Behavioral Health 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 2020-09-08
1841809746 Ryan's Place, LLC Community/Behavioral Health 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 2020-07-27
1760090641 Compact Health Services LLC Community/Behavioral Health 7506 E Independence Blvd Ste 130-d, Charlotte, NC 28227-9471 2020-07-16
1366060170 Stride Community/Behavioral Health 14054 Singleleaf Lane, Charlotte, NC 28278 2020-07-08
1114540093 Curtis In Care LLC Community/Behavioral Health 10923 Chastain Parc Dr, Charlotte, NC 28216-7654 2020-05-26
1477174407 Garden of Life, Inc Community/Behavioral Health 8339 Fox Swamp Rd, Charlotte, NC 28215-9011 2020-04-30
1134753601 Luis Ariel Hernandez Community/Behavioral Health 6000 Fairview Rd # 1259, Charlotte, NC 28210-2224 2020-02-24
1205468774 Windsong Family & Psychiatric Associates, Pllc Community/Behavioral Health 416 Mccullough Dr Ste 135, Charlotte, NC 28262-4389 2020-02-12
1265071542 Counseling and Behavioral Therapy Community/Behavioral Health 16528 Silversword Dr, Charlotte, NC 28213-4876 2020-01-03
1578101283 Davis Quality Care LLC Community/Behavioral Health 11623 Sweet Rose Ct, Charlotte, NC 28269-3407 2019-12-12
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Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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