Provider Type Icon

CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1922367077


NPI Information

NPI: 1922367077
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: CAROLINAS PEDIATRIC NEUROLOGY CARE-MORROCROFT

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
4501 CAMERON VALLEY PKWY
SUITE 301-A
CHARLOTTE, NC
ZIP 28211
Phone: (704) 403-2660
Get Directions

CAROLINAS MEDICAL CENTER-NORTHEAST is a neurology with special qualifications in child neurology psychiatry neurology in Charlotte, NC. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1922367077. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Pediatric Neurology Care-morrocroft.

The provider's business location address is:

4501 CAMERON VALLEY PKWY
SUITE 301-A
CHARLOTTE, NC
ZIP 28211-297
Phone: (704) 403-2660
Fax: (704) 403-2670

The provider's authorized official is Frieda M Lowder .
The authorized official title is Sr. Vice President and has the following contact phone number (704) 403-4146.

The enumeration date for this NPI number is 5/10/2012 and was last updated on 9/5/2012.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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
15920684MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.