CARTER CLINIC, PA
NPI 1205307063
Psychiatry & Neurology - Psychiatry in Whiteville, NC

Active since December 05, 2018
611 N MADISON ST, WHITEVILLE, NC 28472(910) 207-6112 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2021, Dec 5, 2018 (2 updates tracked since 2018).

About Carter Clinic, Pa NPPES

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

CARTER CLINIC, PA (NPI 1205307063) is a healthcare organization registered as a psychiatry in Whiteville, North Carolina and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Whiteville and lists Myleme Ojinga Harrison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205307063
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCARTER CLINIC, PA
Location Address611 N MADISON STWhiteville, NC 28472-3309
Mailing Address6026 Six Forks RdRaleigh, NC 27609-3899 · (919) 848-0132
Organization SubpartNo
Authorized OfficialMyleme Ojinga HarrisonCeo · (919) 848-0132
Enumeration DateDecember 5, 2018
Last NPPES UpdateJune 27, 20222 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1205307063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
611 N MADISON ST, Whiteville, NC 28472

Secondary Practice Location 1

Location 1209 W Virgil StWhiteville, NC 28472-4017 · Phone (919) 848-0132

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, Pa 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, PA, 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)

Internal Medicine
NPI 1811992340
1515 MEDICAL CENTER DR
Wilmington, NC 28401
(910) 796-9969
✔ PECOS✔ Accepts Medicare45 mi
Clinical Social Worker
NPI 1386416428
309 PROGRESS DR
Burgaw, NC 28425
(910) 259-0668
✔ PECOS46 mi
Nurse Practitioner
NPI 1285148312
2151 SKIBO RD
Fayetteville, NC 28314
(910) 689-5333
✔ PECOS✔ Accepts Medicare51 mi
Mental Health Counselor
NPI 1487128013
2151 SKIBO RD
Fayetteville, NC 28314
(910) 689-5333
✔ PECOS51 mi
Nurse Practitioner
NPI 1811223464
5817 TUCKERTOWN LN
Fayetteville, NC 28314
(336) 339-1163
✔ PECOS✔ Accepts Medicare53 mi
Nurse Practitioner
NPI 1417558990
2617 VALLEY HAVEN DR
Raleigh, NC 27603
(919) 961-0786
✔ PECOS✔ Accepts Medicare97 mi
Nurse Practitioner
NPI 1104627884
964 HIGH HOUSE RD
Cary, NC 27513
(919) 641-3625
✔ PECOS✔ Accepts Medicare100 mi
Nurse Practitioner
NPI 1316373475
2797 NC 55 HWY
Cary, NC 27519
(866) 389-2727
✔ PECOS✔ Accepts Medicare100 mi
Nurse Practitioner
NPI 1417582545
5000 CENTRE GREEN WAY STE 500
Cary, NC 27513
(919) 446-4999
✔ PECOS✔ Accepts Medicare103 mi
Mental Health Counselor
NPI 1598437964
4009 BARRETT DR
Raleigh, NC 27609
(919) 848-0123
✔ PECOS103 mi
Internal Medicine
NPI 1922114628
4009 BARRETT DR STE 100
Raleigh, NC 27609
(919) 848-0132
✔ PECOS✔ Accepts Medicare103 mi
Nurse Practitioner
NPI 1407416324
4009 BARRETT DR STE 100
Raleigh, NC 27609
(919) 848-0132
✔ PECOS✔ Accepts Medicare103 mi
Nurse Practitioner
NPI 1538899810
6675 FALLS OF NEUSE RD
Raleigh, NC 27615
(919) 999-3604
✔ PECOS106 mi
Psychiatry
NPI 1164477691
8360 SIX FORKS RD STE 202
Raleigh, NC 27615
(919) 848-0132
✔ PECOS✔ Accepts Medicare107 mi
Mental Health Counselor
NPI 1942449939
150 N WHITE ST STE A
Wake Forest, NC 27587
(919) 556-0709
✔ PECOS114 mi
Clinical Social Worker
NPI 1073953980
1803 CHAPEL HILL RD
Durham, NC 27707
(919) 401-8000
✔ PECOS115 mi
Nurse Practitioner
NPI 1073140513
13100 W YORKSHIRE LN
Beach Park, IL 60083
(630) 877-9003
✔ PECOS✔ Accepts Medicare748 mi

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

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, PA's NPI number?

The NPI number for Carter Clinic, PA is 1205307063. It was assigned to this organization in the NPPES registry on December 5, 2018.

Where is Carter Clinic, PA located?

Carter Clinic, PA is located at 611 N Madison St, Whiteville, NC 28472. The listed phone number is (910) 207-6112.

What is Carter Clinic, PA's specialty?

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

Is Carter Clinic, PA enrolled in Medicare?

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

How many clinicians bill Medicare through Carter Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Carter Clinic, PA. 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.

When was this NPI record last updated?

The NPPES record for Carter Clinic, PA was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.