REBECCA JEAN DECARLO MD
NPI 1942838834
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Rebecca Decarlo's NPI number?

The NPI number for Rebecca Decarlo is 1942838834. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Rebecca Decarlo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Decarlo was last updated on March 28, 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.

Active since March 28, 2020PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-4823 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rebecca Jean Decarlo Md NPPES

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

REBECCA JEAN DECARLO MD (NPI 1942838834) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942838834

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameREBECCA JEAN DECARLOCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address118 Jacquelyn DrSavannah, GA 31406-5218 · (706) 949-6871

Phone(704) 355-4823

Sole ProprietorYes

Enumeration DateMarch 28, 2020

NPPES CertifiedMarch 28, 2020

✔ NPI 1942838834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Jean Decarlo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)