CARTER CLINIC, PA
NPI 1679079537
Psychiatry & Neurology - Addiction Medicine in Hickory, NC

NPI Status: Active since March 31, 2018

Contact Information

260 1ST AVE NW STE 215
HICKORY, NC
ZIP 28601
Phone: (919) 423-0267

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  • Organization
  • Psychiatry & Neurology
  • Addiction Medicine
  • CLIA Number: 34D2020233
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-10-2025

About CARTER CLINIC, PA

This page provides the complete NPI Profile along with additional information for Carter Clinic, Pa, a provider established in Hickory, North Carolina operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1679079537 assigned on March 2018. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Myleme Ojina Harrison Md (Ceo)

NPI
1679079537
Provider Name
CARTER CLINIC, PA
Entity Type
Organization
Location Address
260 1ST AVE NW STE 215 HICKORY, NC 28601
Location Phone
(919) 423-0267
Mailing Address
6026 SIX FORKS RD RALEIGH, NC 27609
Mailing Phone
(919) 848-0132
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-31-2018
Last Update Date
06-16-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MYLEME OJINA HARRISON MD

Authorized Official Title
CEO
Authorized Official Phone
(919) 848-0132

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2020233
Facility Type
Physician Office
Certificate Effective Date
July 11, 2023
Certificate Expiration Date
July 10, 2025
Laboratory Director
DR. MARY LOVIN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Carter Clinic, Pa on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679079537
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26149071856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 0 + 7 + 1 + 8 + 5 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1679079537 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679079537, enumerated in the NPI registry as an "organization" on March 31, 2018

The provider is located at 260 1st Ave Nw Ste 215 Hickory, Nc 28601 and the phone number is (919) 423-0267

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084A0401X with a focus in Addiction Medicine

The provider's CLIA number is 34D2020233 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on March 31, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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