RESTORATIVE MINDS, PLLC
NPI 1821753476
Physician Assistant in Charlotte, NC

Q: What is Restorative Minds, PLLC's NPI number?

The NPI number for Restorative Minds, PLLC is 1821753476. It was assigned to this organization in the NPPES registry on November 8, 2021.

Q: What is Restorative Minds, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 08, 2021

416 MCCULLOUGH DR STE 205, CHARLOTTE, NC 28262(704) 912-1725 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2022, Apr 13, 2022, Nov 11, 2021 (3 updates tracked since 2021).

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About Restorative Minds, Pllc NPPES

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

RESTORATIVE MINDS, PLLC (NPI 1821753476) is a healthcare organization registered as a physician assistant in Charlotte, North Carolina and active in the NPI registry since November 2021. The organization lists Tiffanie Adams, Owner, as its authorized official.

NPPES Registry Identity

NPI1821753476

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameRESTORATIVE MINDS, PLLC

Location Address416 MCCULLOUGH DR STE 205Charlotte, NC 28262-4392

Mailing Address416 Mccullough Dr Ste 205Charlotte, NC 28262-4392

Phone(704) 912-1725

Organization SubpartNo

Authorized OfficialTiffanie AdamsOwner · (704) 606-2220

Enumeration DateNovember 8, 2021

Last NPPES UpdateMay 2, 20223 updates tracked since enumeration

NPPES CertifiedMay 2, 2022

✔ NPI 1821753476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

416 MCCULLOUGH DR STE 205, Charlotte, NC 28262

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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

Other Providers at the Same Location NPPES 6

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

MRS. KIMBERLY FENA HAMELA LCAS

Counselor (Addiction (Substance Use Disorder))