CARTER CLINIC, P A
NPI 1063981967
Psychiatry & Neurology - Psychiatry in Elizabethtown, NC

Active since November 20, 2018CLIA 34D2020233 · Accreditation
1104 W BROAD ST, ELIZABETHTOWN, NC 28337(919) 848-0132 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carter Clinic, P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARTER CLINIC, P A (NPI 1063981967) is a healthcare organization registered as a psychiatry in Elizabethtown, North Carolina and active in the NPI registry since November 2018. The organization holds an CLIA Accreditation certificate valid through July 10, 2027 and lists Myleme Ojinga Harrison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063981967
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCARTER CLINIC, P A
Location Address1104 W BROAD STElizabethtown, NC 28337-9482
Mailing Address6026 Six Forks RdRaleigh, NC 27609-3899 · (919) 848-0132 · Fax (919) 848-0277
Organization SubpartNo
Authorized OfficialMyleme Ojinga HarrisonCeo · (919) 848-0132
Enumeration DateNovember 20, 2018
✔ NPI 1063981967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1104 W BROAD ST, Elizabethtown, NC 28337

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carter Clinic, P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Carter Clinic, P A, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner9
Mental Health Counselor3
Clinical Social Worker2
Internal Medicine2
Psychiatry1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1285148312
2151 SKIBO RD
Fayetteville, NC 28314
(910) 689-5333
✔ PECOS✔ Accepts Medicare36 mi
Mental Health Counselor
NPI 1487128013
2151 SKIBO RD
Fayetteville, NC 28314
(910) 689-5333
✔ PECOS36 mi
Nurse Practitioner
NPI 1811223464
5817 TUCKERTOWN LN
Fayetteville, NC 28314
(336) 339-1163
✔ PECOS✔ Accepts Medicare38 mi
Clinical Social Worker
NPI 1386416428
309 PROGRESS DR
Burgaw, NC 28425
(910) 259-0668
✔ PECOS38 mi
Internal Medicine
NPI 1811992340
1515 MEDICAL CENTER DR
Wilmington, NC 28401
(910) 796-9969
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1417558990
2617 VALLEY HAVEN DR
Raleigh, NC 27603
(919) 961-0786
✔ PECOS✔ Accepts Medicare77 mi
Nurse Practitioner
NPI 1104627884
964 HIGH HOUSE RD
Cary, NC 27513
(919) 641-3625
✔ PECOS✔ Accepts Medicare81 mi
Nurse Practitioner
NPI 1316373475
2797 NC 55 HWY
Cary, NC 27519
(866) 389-2727
✔ PECOS✔ Accepts Medicare82 mi
Mental Health Counselor
NPI 1598437964
4009 BARRETT DR
Raleigh, NC 27609
(919) 848-0123
✔ PECOS83 mi
Internal Medicine
NPI 1922114628
4009 BARRETT DR STE 100
Raleigh, NC 27609
(919) 848-0132
✔ PECOS✔ Accepts Medicare83 mi
Nurse Practitioner
NPI 1407416324
4009 BARRETT DR STE 100
Raleigh, NC 27609
(919) 848-0132
✔ PECOS✔ Accepts Medicare83 mi
Nurse Practitioner
NPI 1417582545
5000 CENTRE GREEN WAY STE 500
Cary, NC 27513
(919) 446-4999
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1538899810
6675 FALLS OF NEUSE RD
Raleigh, NC 27615
(919) 999-3604
✔ PECOS86 mi
Psychiatry
NPI 1164477691
8360 SIX FORKS RD STE 202
Raleigh, NC 27615
(919) 848-0132
✔ PECOS✔ Accepts Medicare88 mi
Mental Health Counselor
NPI 1942449939
150 N WHITE ST STE A
Wake Forest, NC 27587
(919) 556-0709
✔ PECOS94 mi
Clinical Social Worker
NPI 1073953980
1803 CHAPEL HILL RD
Durham, NC 27707
(919) 401-8000
✔ PECOS96 mi
Nurse Practitioner
NPI 1073140513
13100 W YORKSHIRE LN
Beach Park, IL 60083
(630) 877-9003
✔ PECOS✔ Accepts Medicare736 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D2020233

Carter Clinic, PA · Raleigh, NC
Active · expires Jul 10, 2027
CLIA Number34D2020233
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorDr. Mary Lovin
Laboratory Phone(919) 848-0132
Laboratory LocationCarter Clinic, PA4009 Barrett Drive Suite 100, Raleigh, NC 27609
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carter Clinic, P A's NPI number?

The NPI number for Carter Clinic, P A is 1063981967. It was assigned to this organization in the NPPES registry on November 20, 2018.

Where is Carter Clinic, P A located?

Carter Clinic, P A is located at 1104 W Broad St, Elizabethtown, NC 28337. The listed phone number is (919) 848-0132.

What is Carter Clinic, P A's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carter Clinic, P A enrolled in Medicare?

Yes. Carter Clinic, P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carter Clinic, P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Carter Clinic, P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Mental Health Counselor (3) and Clinical Social Worker (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carter Clinic, P A hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2020233) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carter Clinic, P A was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.