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DR. TIA RENE' KONZER D.O.
NPI 1477689578
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlotte, NC

Active since February 26, 2007Opted out of Medicare · through Jun 1, 2027
1900 RANDOLPH RD, CHARLOTTE, NC 28207(704) 384-1246(704) 384-6072 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tia Rene' Konzer D.o. NPPES

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

DR. TIA RENE' KONZER D.O. (NPI 1477689578) is an individual child & adolescent psychiatry provider in Charlotte, North Carolina, licensed in North Carolina (2009-01442) and active in the NPI registry since February 2007. She has opted out of Medicare through June 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477689578
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. TIA RENE' KONZERCredential: D.O.
Location Address1900 RANDOLPH RDCharlotte, NC 28207-1122
Mailing Address1900 Randolph RdCharlotte, NC 28207-1122 · (704) 384-1246 · Fax (704) 384-6072
Phone(704) 384-1246
Fax(704) 384-6072
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 24, 2015
✔ NPI 1477689578 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 · 2009-01442
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 · PsychiatryTaxonomy 2084P0800X · License 5101016063 (MI), 2009-01442 (NC)
1900 RANDOLPH RD, Charlotte, NC 28207
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Other Identifiers 1

Medicaid5912201NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tia Rene' Konzer D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2017 through June 1, 2027.

Opt-Out Effective DateJune 1, 2017
Opt-Out In Effect ThroughJune 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MR. DAVID E SOMERSTEIN MD
Urology
1900 RANDOLPH RD, SUITE 310
CHARLOTTE, NC 28207
Mecklenburg County (704) 358-8780
TRISHA R MCCREIGHT P.A.
Physician Assistant (Medical)
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
JOHN B CLARK JR. M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
JAMES A DAVIS M.D
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
JAMES E PUGH MD
Psychiatry & Neurology (Neurology)
1900 RANDOLPH RD, SUITE 1010
CHARLOTTE, NC 28207
Mecklenburg County (704) 334-7311
SIDNEY M FLETCHER M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
DR. BARBARA M GUISE M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424
HARRY E SIBOLD M.D.
Emergency Medicine
1900 RANDOLPH RD, STE 900
CHARLOTTE, NC 28207
Mecklenburg County (704) 377-2424

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 Tia Konzer's NPI number?

The NPI number for Tia Konzer is 1477689578. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Tia Konzer located?

Tia Konzer practices at 1900 Randolph Rd, Charlotte, NC 28207. The listed phone number is (704) 384-1246.

What is Tia Konzer's specialty?

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

Is Tia Konzer enrolled in Medicare?

No. Tia Konzer has opted out of Medicare through June 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tia Konzer accept?

Health plans from Blue Cross and Blue Shield of NC list Tia Konzer 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 Tia Konzer was last updated on November 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.