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CARLY HAMMOND O'BRIEN MD
NPI 1083465579
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since April 01, 2024PECOS Enrolled
1000 BLYTHE BLVD., 4TH FLOOR, MEB, CHARLOTTE, NC 28203(704) 381-6800(704) 381-6841 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2026, Jul 12, 2024, Apr 1, 2024 (3 updates tracked since 2024).

About Carly Hammond O'brien Md NPPES

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

CARLY HAMMOND O'BRIEN MD (NPI 1083465579) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083465579
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY HAMMOND O'BRIENCredential: MD
Location Address1000 BLYTHE BLVD., 4TH FLOOR, MEBCharlotte, NC 28203-5812
Mailing Address1440 Harding Pl Apt 507Charlotte, NC 28204-0042 · (864) 423-6346
Phone(704) 381-6800
Fax(704) 381-6841
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateJanuary 18, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2026
✔ NPI 1083465579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 BLYTHE BLVD., 4TH FLOOR, MEB, Charlotte, NC 28203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Hammond O'brien Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAZLI MOREL DO
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD., 4TH FLOOR, MEB
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-6800

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 Carly O'brien's NPI number?

The NPI number for Carly O'brien is 1083465579. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Carly O'brien located?

Carly O'brien practices at 1000 Blythe Blvd., 4th Floor, Meb, Charlotte, NC 28203. The listed phone number is (704) 381-6800.

What is Carly O'brien's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carly O'brien enrolled in Medicare?

Yes. Carly O'brien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly O'brien was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.