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CAROLINAS MEDICAL CENTER NPI 1861757197


NPI Information

NPI: 1861757197
Provider Name: CAROLINAS MEDICAL CENTER

Doing Business As: LEVINE CHILDREN'S SPECIALTY CENTER

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

CLIA Number: 34D2047842

Address:
4501 CAMERON VALLEY PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28211
Phone: (704) 381-1410
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CAROLINAS MEDICAL CENTER is a neurodevelopmental disabilities pediatrics in Charlotte, NC. The provider is a pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. CAROLINAS MEDICAL CENTER NPI is 1861757197. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Levine Children's Specialty Center.

The provider's business location address is:

4501 CAMERON VALLEY PKWY
SUITE 300
CHARLOTTE, NC
ZIP 28211-297
Phone: (704) 381-1410
Fax: (704) 381-1434

The provider's authorized official is Thomas Ford Laymon .
The authorized official title is Svp and has the following contact phone number (704) 631-0002.

The CLIA number assigned to this NPI record is 34D2047842 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2012 and was last updated on 8/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
22080P0008XPediatricsNeurodevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPB197MEDICAIDSOUTH CAROLINA
25903972MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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