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BYRON DENARTUS BACON
NPI 1962905745
Case Manager/Care Coordinator in Charlotte, NC

Active since March 17, 2018
1016 EUCLID AVE, CHARLOTTE, NC 28203(704) 807-5699(704) 631-4574 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Byron Denartus Bacon NPPES

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

BYRON DENARTUS BACON (NPI 1962905745) is an individual case manager/care coordinator provider in Charlotte, North Carolina and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1962905745
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBYRON DENARTUS BACON
Location Address1016 EUCLID AVECharlotte, NC 28203-4520
Mailing Address9611 Brookdale Dr Ste 100-122Charlotte, NC 28215-8719
Phone(704) 807-5699
Fax(704) 631-4574
Sole ProprietorNo
Enumeration DateMarch 17, 2018
✔ NPI 1962905745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1016 EUCLID AVE, Charlotte, NC 28203
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Other Providers at the Same Location NPPES 12

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

KELLY LAWLER WEYNAND OTR/L
Occupational Therapist (Pediatrics)
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
THERESA GREENE
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
KETTY JOHNSON
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
ROBERT ANDREW GREEN COTA
Occupational Therapy Assistant
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
ERIN COLLINS BARNOBI
Physical Therapy Assistant
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
MEGAN MOODY
Massage Therapist
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 426-3955
ALLISON JOSLIN PT, DPT
Physical Therapist
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
ASHLEY THEOGENE COTA
Occupational Therapist (Pediatrics)
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699

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 Byron Bacon's NPI number?

The NPI number for Byron Bacon is 1962905745. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Byron Bacon located?

Byron Bacon practices at 1016 Euclid Ave, Charlotte, NC 28203. The listed phone number is (704) 807-5699.

What is Byron Bacon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Byron Bacon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.