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FORT HEALTH MEDICAL GROUP PA
NPI 1114766284
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlotte, NC

Active since May 20, 2024
212 S TRYON ST STE 100, CHARLOTTE, NC 28281(201) 208-2616(973) 381-5773 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Health Medical Group Pa NPPES

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

FORT HEALTH MEDICAL GROUP PA (NPI 1114766284), doing business as Fort Health Medical Group Of Nc, is a healthcare organization registered as a child & adolescent psychiatry in Charlotte, North Carolina and active in the NPI registry since May 2024. The organization lists Traci Crosby, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1114766284
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameFORT HEALTH MEDICAL GROUP PA
Location Address212 S TRYON ST STE 100Charlotte, NC 28281-0033
Mailing Address613 Washington Blvd # 1297Jersey City, NJ 07310-2900 · (201) 208-2616 · Fax (973) 381-5773
Phone(201) 208-2616
Fax(973) 381-5773
Organization SubpartNo
Authorized OfficialTraci CrosbyCredentialing Manager · (201) 503-4815
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1114766284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
212 S TRYON ST STE 100, Charlotte, NC 28281
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Other Names 1

Doing Business AsFort Health Medical Group Of Nc

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

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 Fort Health Medical Group PA's NPI number?

The NPI number for Fort Health Medical Group PA is 1114766284. It was assigned to this organization in the NPPES registry on May 20, 2024. The provider is doing business as Fort Health Medical Group of NC.

Where is Fort Health Medical Group PA located?

Fort Health Medical Group PA is located at 212 S Tryon St Ste 100, Charlotte, NC 28281. The listed phone number is (201) 208-2616.

What is Fort Health Medical Group PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Fort Health Medical Group PA was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.