CAROLINA NEUROSERVICES
NPI 1780684522
Clinic/Center - Adult Mental Health in Charlotte, NC

Active since July 22, 2005
6853 FAIRVIEW RD, SUITE B, CHARLOTTE, NC 28210(704) 366-9930 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Neuroservices NPPES

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

CAROLINA NEUROSERVICES (NPI 1780684522) is a healthcare organization registered as an adult mental health in Charlotte, North Carolina and active in the NPI registry since July 2005. The organization lists Peter Jeffrey Ewert, President, as its authorized official.

NPPES Registry Identity

NPI1780684522
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHEAD INJURY CENTER OF CHARLOTTE, INC.
Location Address6853 FAIRVIEW RD, SUITE BCharlotte, NC 28210-3363
Mailing Address6853 Fairview Rd, Ste BCharlotte, NC 28210-3363 · (704) 366-9930 · Fax (704) 366-9931
Organization SubpartNo
Authorized OfficialPeter Jeffrey EwertPresident · (704) 366-9930
Enumeration DateJuly 22, 2005
Last NPPES UpdateSeptember 25, 2009
✔ NPI 1780684522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
6853 FAIRVIEW RD, Charlotte, NC 28210

Other Names 1

Doing Business AsCarolina Neuroservices

Other Identifiers 2

Medicare PIN2340104ANC
Medicare PIN2340104NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carolina Neuroservices, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1730188020
6853 FAIRVIEW RD STE B
Charlotte, NC 28210
(704) 366-9930
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1982072781
44 ARTHURIAN WAY
North Chili, NY 14514
(585) 355-5609
✔ PECOS573 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 Head Injury Center Of Charlotte, Inc.'s NPI number?

The NPI number for Head Injury Center Of Charlotte, Inc. is 1780684522. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Carolina Neuroservices.

Where is Head Injury Center Of Charlotte, Inc. located?

Head Injury Center Of Charlotte, Inc. is located at 6853 Fairview Rd Suite B, Charlotte, NC 28210. The listed phone number is (704) 366-9930.

What is Head Injury Center Of Charlotte, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Head Injury Center Of Charlotte, Inc. enrolled in Medicare?

Yes. Head Injury Center Of Charlotte, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Head Injury Center Of Charlotte, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Head Injury Center Of Charlotte, Inc., in Clinical Psychologist and Clinical Social Worker. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Head Injury Center Of Charlotte, Inc. was last updated on September 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.