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CECILIA SUCCOUR FERNANDES MD
NPI 1437566718
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlotte, NC

Active since July 17, 2014PECOS Enrolled
1001 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 381-1450 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, Jun 28, 2024, Jun 20, 2024 and 2 more (5 updates tracked since 2020).

About Cecilia Succour Fernandes Md NPPES

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

CECILIA SUCCOUR FERNANDES MD (NPI 1437566718) is an individual child & adolescent psychiatry provider in Charlotte, North Carolina, licensed in North Carolina (2017-02100) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1437566718
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameCECILIA SUCCOUR FERNANDESCredential: MD
Location Address1001 BLYTHE BLVDCharlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-1450
Sole ProprietorNo
Enumeration DateJuly 17, 2014
Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1437566718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NC · 2017-02100
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.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2017-02100 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11001 Blythe Blvd, Ste 500Charlotte, NC 28203-5866 · Phone (704) 373-1813
Location 26600 W Wilkinson BlvdBelmont, NC 28012-2796 · Phone (704) 381-1450
Location 3100 Medical Park Dr, Suite 310Concord, NC 28025-2948 · Phone (704) 403-2660
Location 49625 Northcross Center Ct, Ste 102BHuntersville, NC 28078-7348 · Phone (704) 801-1240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cecilia Succour Fernandes 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cecilia Fernandes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority
0.1 mi
Gastroenterology
1025 MOREHEAD MEDICAL DR, STE 300
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1992173165 (704) 355-4593
Carolinas Physicians Network, Inc.
0.1 mi
Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1215289665 (704) 512-2999

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

Other Providers at the Same Location NPPES 20

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

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

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 Cecilia Fernandes's NPI number?

The NPI number for Cecilia Fernandes is 1437566718. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Cecilia Fernandes located?

Cecilia Fernandes practices at 1001 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 381-1450.

What is Cecilia Fernandes's specialty?

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

Is Cecilia Fernandes enrolled in Medicare?

Yes. Cecilia Fernandes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cecilia Fernandes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Fernandes reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC) and Carolinas Physicians Network, Inc. (Charlotte, NC). Each 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 Cecilia Fernandes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecilia Fernandes accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc list Cecilia Fernandes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cecilia Fernandes was last updated on July 15, 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.