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IMPACT CAROLINA SERVICES, INC
NPI 1619285756
Psychiatry & Neurology - Psychiatry in Charlotte, NC

Active since September 23, 2010
2848 QUEEN CITY DR STE G, CHARLOTTE, NC 28208(704) 405-1617(704) 405-1619 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Impact Carolina Services, Inc NPPES

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

IMPACT CAROLINA SERVICES, INC (NPI 1619285756) is a healthcare organization registered as a psychiatry in Charlotte, North Carolina and active in the NPI registry since September 2010. The organization lists Joseph Adedokun, Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1619285756
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameIMPACT CAROLINA SERVICES, INC
Location Address2848 QUEEN CITY DR STE GCharlotte, NC 28208-2739
Mailing Address2848 Queen City Dr Ste GCharlotte, NC 28208-2739 · (704) 405-1617 · Fax (704) 405-1619
Phone(704) 405-1617
Fax(704) 405-1619
Organization SubpartNo
Authorized OfficialJoseph AdedokunDirector/ceo · (704) 405-1617
Enumeration DateSeptember 23, 2010
✔ NPI 1619285756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · NC 2005-00391
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 795 (NC)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5171 (NC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C001664 (NC)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0600071 (NC)
2848 QUEEN CITY DR STE G, Charlotte, NC 28208
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Other Identifiers 2

Medicaid6006650NC
Medicare PIN2347954NC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Carolina Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Carolina Services, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Adedokun, LCAS
Mental Health Counselor
NPI 1760542062
432 E LONG AVE STE 1
Gastonia, NC 28054
(704) 854-9595
✔ PECOS✔ Accepts Medicare15 mi
Esther Adedokun, NP
Nurse Practitioner
NPI 1285379081
134 E REBOUND RD
Lancaster, SC 29720
(803) 712-3987
✔ PECOS✔ Accepts Medicare27 mi
Novlett Campbell
Nurse Practitioner
NPI 1326462524
2645 MERIDIAN PKWY STE 323
Durham, NC 27713
(984) 227-8902
✔ PECOS122 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 Impact Carolina Services, Inc's NPI number?

The NPI number for Impact Carolina Services, Inc is 1619285756. It was assigned to this organization in the NPPES registry on September 23, 2010.

Where is Impact Carolina Services, Inc located?

Impact Carolina Services, Inc is located at 2848 Queen City Dr Ste G, Charlotte, NC 28208. The listed phone number is (704) 405-1617.

What is Impact Carolina Services, Inc's specialty?

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

Is Impact Carolina Services, Inc enrolled in Medicare?

Yes. Impact Carolina Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Carolina Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Impact Carolina Services, Inc, in Mental Health Counselor and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Impact Carolina Services, Inc was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.