1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Clinical Neuropsychologist
  6. NPI Profile

MR. PETER JEFFREY EWERT PHD
NPI 1730188020
Clinical Neuropsychologist in Charlotte, NC

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
6853 FAIRVIEW RD, STE B, CHARLOTTE, NC 28210(704) 366-9930(704) 366-9931 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Peter Jeffrey Ewert Phd NPPES

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

MR. PETER JEFFREY EWERT PHD (NPI 1730188020) is an individual clinical neuropsychologist in Charlotte, North Carolina, licensed in North Carolina (1548) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1730188020
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameMR. PETER JEFFREY EWERTCredential: PHD
Location Address6853 FAIRVIEW RD, STE BCharlotte, NC 28210-3363
Mailing Address6853 Fairview Rd, Ste BCharlotte, NC 28210-3363 · (704) 366-9930 · Fax (704) 366-9931
Phone(704) 366-9930
Fax(704) 366-9931
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1730188020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NC · 1548
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
6853 FAIRVIEW RD, Charlotte, NC 28210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Mr. Peter Jeffrey Ewert Phd 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 ID8527035484
PECOS Enrollment IDI20040911000133
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 Reassignment

Medicare enrollment records show Peter Ewert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Head Injury Center Of Charlotte, Inc.
Same address
Adult Mental Health
6853 FAIRVIEW RD, SUITE B
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1780684522 (704) 366-9930

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

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
60 services11 patients

Other Providers at the Same Location NPPES 2

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

JODY M. SHANKER LCSW
Social Worker (Clinical)
6853 FAIRVIEW RD, SUITE B
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-9930
HEAD INJURY CENTER OF CHARLOTTE, INC.
Clinic/Center (Adult Mental Health)
6853 FAIRVIEW RD, SUITE B
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-9930

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 Peter Ewert's NPI number?

The NPI number for Peter Ewert is 1730188020. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Peter Ewert located?

Peter Ewert practices at 6853 Fairview Rd Ste B, Charlotte, NC 28210. The listed phone number is (704) 366-9930.

What is Peter Ewert's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Peter Ewert enrolled in Medicare?

Yes. Peter Ewert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Peter Ewert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Ewert reassigns Medicare benefits to Head Injury Center Of Charlotte, Inc. (Charlotte, NC). The 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 Peter Ewert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Ewert accept?

Health plans from Cigna Healthcare list Peter Ewert 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 Peter Ewert was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.