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CAROLINA NEUROLOGICAL CLINIC, PA
NPI 1902861396
Psychiatry & Neurology - Neurology in Charlotte, NC

Active since April 19, 2006
3541 RANDOLPH RD, SUITE 101, CHARLOTTE, NC 28211(704) 377-9323(704) 331-4030 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Neurological Clinic, Pa NPPES

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

CAROLINA NEUROLOGICAL CLINIC, PA (NPI 1902861396) is a healthcare organization registered as a neurology in Charlotte, North Carolina and active in the NPI registry since April 2006. The organization lists Shepard Averitt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902861396
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameCAROLINA NEUROLOGICAL CLINIC, PA
Location Address3541 RANDOLPH RD, SUITE 101Charlotte, NC 28211-1082
Mailing AddressPo Box 221009Charlotte, NC 28222-1009 · (704) 377-9323 · Fax (704) 331-4030
Phone(704) 377-9323
Fax(704) 331-4030
Organization SubpartNo
Authorized OfficialShepard AverittAdministrator · (704) 377-9323
Enumeration DateApril 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902861396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
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.
3541 RANDOLPH RD, Charlotte, NC 28211
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Other Identifiers 1

Medicaid8901287NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ANASTASHIA NATASHA BROWN LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
JENNIFER MANNING THOMAS PHD
Psychologist
3541 RANDOLPH RD, STE 206
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
KATHLEEN HOGAN WHITE PT, DPT, CSCS
Physical Therapist
3541 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 323-2520
ROBERT CUSTRINI PH.D.
Psychologist (Clinical)
3541 RANDOLPH RD, SUITE 102
CHARLOTTE, NC 28211
Mecklenburg County (704) 362-0960
JULIE KATHLEEN CAMPBELL LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
NELAN LLC
Pharmacy (Community/Retail Pharmacy)
3541 RANDOLPH RD, SUITE 104
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-0707
TYLER MARIE SINGLETON LCSW
Social Worker
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336
ROZIE ANNA KHASHMANIAN LCSW
Social Worker (Clinical)
3541 RANDOLPH RD, STE 210
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-8336

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 Carolina Neurological Clinic, PA's NPI number?

The NPI number for Carolina Neurological Clinic, PA is 1902861396. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Carolina Neurological Clinic, PA located?

Carolina Neurological Clinic, PA is located at 3541 Randolph Rd Suite 101, Charlotte, NC 28211. The listed phone number is (704) 377-9323.

What is Carolina Neurological Clinic, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Carolina Neurological Clinic, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.