DR. LARRY CHARLESTON IV M.D.
NPI 1730314782
Psychiatry & Neurology - Neurology in East Lansing, MI

Q: What is Larry Charleston's NPI number?

The NPI number for Larry Charleston is 1730314782. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Q: What is Larry Charleston's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Larry Charleston was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2009

804 SERVICE RD STE A217, EAST LANSING, MI 48824(517) 353-8122(517) 432-3713 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2021, Feb 25, 2021 (2 updates tracked since 2021).

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About Dr. Larry Charleston Iv M.d. NPPES

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

DR. LARRY CHARLESTON IV M.D. (NPI 1730314782) is an individual neurology provider in East Lansing, Michigan, licensed in Michigan (4301086055) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1730314782

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. LARRY CHARLESTON IVCredential: M.D.

Location Address804 SERVICE RD STE A217East Lansing, MI 48824-7015

Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 353-8122 · Fax (517) 432-3713

Phone(517) 353-8122

Fax(517) 432-3713

Sole ProprietorNo

Enumeration DateMay 20, 2009

Last NPPES UpdateJune 28, 20232 updates tracked since enumeration

NPPES CertifiedJune 28, 2023

✔ NPI 1730314782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4301086055

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

804 SERVICE RD STE A217, East Lansing, MI 48824

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Other Identifiers 1

Medicaid1730314782MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services13 patients

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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.

DR. MOUNZER YASSIN-KASSAB M.D.

Psychiatry & Neurology (Vascular Neurology)