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LEVINE CHILDREN'S SPECIALTY CENTER
NPI 1861757197
Pediatrics - Neurodevelopmental Disabilities in Charlotte, NC

Active since July 12, 2012CLIA 34D2047842 · Waiver
4501 CAMERON VALLEY PKWY, SUITE 300, CHARLOTTE, NC 28211(704) 381-1410(704) 381-1434 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Levine Children's Specialty Center NPPES

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

LEVINE CHILDREN'S SPECIALTY CENTER (NPI 1861757197) is a healthcare organization registered as a neurodevelopmental disabilities in Charlotte, North Carolina and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Thomas Ford Laymon, Svp, as its authorized official.

NPPES Registry Identity

NPI1861757197
Entity TypeOrganization
Primary Taxonomy2080P0008X
Legal Business NameCAROLINAS MEDICAL CENTER
Location Address4501 CAMERON VALLEY PKWY, SUITE 300Charlotte, NC 28211-4297
Mailing AddressPo Box 601372Charlotte, NC 28260-1372 · (704) 381-1410 · Fax (704) 381-1434
Phone(704) 381-1410
Fax(704) 381-1434
Organization SubpartNo
Authorized OfficialThomas Ford LaymonSvp · (704) 631-0002
Enumeration DateJuly 12, 2012
Last NPPES UpdateAugust 11, 2016
✔ NPI 1861757197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
Definition

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Also ListedPediatricsTaxonomy 208000000X
4501 CAMERON VALLEY PKWY, Charlotte, NC 28211
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Other Names 1

Doing Business AsLevine Children's Specialty Center

Other Identifiers 2

MedicaidNPB197SC
Medicaid5903972NC

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2047842

Carolinas Medical Center Dba Levine Childrens Specialty Center · Charlotte, NC
Active · expires Sep 2, 2026
CLIA Number34D2047842
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorSusan F. Massengill
Laboratory Phone(704) 381-1410
Laboratory LocationCarolinas Medical Center Dba Levine Childrens Specialty Center4501 Cameron Valley Parkway, Suite 200, Charlotte, NC 28211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. GRETCHEN M JACHIM PA-C
Physician Assistant
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
DR. ELIZABETH H HARRIS M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4501 CAMERON VALLEY PKWY, SUITE 300
CHARLOTTE, NC 28211
Mecklenburg County (704) 302-9300
CAROLINAS MEDICAL CENTER-NORTHEAST
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4501 CAMERON VALLEY PKWY, SUITE 301-A
CHARLOTTE, NC 28211
Mecklenburg County (704) 403-2660
MRS. JENNIFER RENEE DICICCO DPT
Physical Therapist (Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 300
CHARLOTTE, NC 28211
Mecklenburg County (703) 304-0620
CAROLINAS MEDICAL CENTER-NORTHEAST
Pediatrics (Developmental - Behavioral Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 301-B
CHARLOTTE, NC 28211
Mecklenburg County (704) 403-2626
MS. ANNE ELAM IBCLC
Lactation Consultant, Non-RN
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
MEDCARERX INC
Pharmacy (Community/Retail Pharmacy)
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7440
BARRY L GOLEMBE MD
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400

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 Carolinas Medical Center's NPI number?

The NPI number for Carolinas Medical Center is 1861757197. It was assigned to this organization in the NPPES registry on July 12, 2012. The provider is doing business as Levine Children's Specialty Center.

Where is Carolinas Medical Center located?

Carolinas Medical Center is located at 4501 Cameron Valley Pkwy Suite 300, Charlotte, NC 28211. The listed phone number is (704) 381-1410.

What is Carolinas Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Does Carolinas Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2047842) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolinas Medical Center was last updated on August 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.