CLAUDINE NIKIA CARTER D.O
NPI 1487096160
Psychiatry & Neurology - Psychiatry in Wilmington, NC

Q: What is Claudine Carter's NPI number?

The NPI number for Claudine Carter is 1487096160. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Q: What is Claudine Carter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Claudine Carter was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment

2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-7000(910) 815-5850 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2021, Jun 6, 2017 (2 updates tracked since 2017).

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About Claudine Nikia Carter D.o NPPES

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

CLAUDINE NIKIA CARTER D.O (NPI 1487096160) is an individual psychiatry provider in Wilmington, North Carolina, licensed in North Carolina (2017-00767) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487096160

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameCLAUDINE NIKIA CARTERCredential: D.O

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 667-7000

Fax(910) 815-5850

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 23, 2013

Last NPPES UpdateMay 26, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1487096160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 2017-00767

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2131 S 17TH ST, Wilmington, NC 28401

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Secondary Practice Location 1

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-1246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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 and accepts Medicare assignment

Claudine Nikia Carter D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446539373

PECOS Enrollment IDI20170807002269

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

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

Garner Behavioral Hospital, LLC

108 mi

Adult Mental Health

3200 WATERFIELD DR
Garner, NC 27529

Reassigned Medicare billing, North Carolina enrollment
42 clinicians in this Medicare group

NPI 1548049679 (888) 603-0020

Uhs Of Hampton, Inc

435 mi

Psychiatry

650 RANCOCAS RD
Westampton, NJ 08060

Reassigned Medicare billing, New Jersey enrollment
29 clinicians in this Medicare group

NPI 1285822858 (609) 267-7000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

203 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

69 services22 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

31 services24 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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