Organization
CAROLINA COMMUNITY GROUP
Active
Parent organization
CAROLINA COMMUNITY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA COMMUNITY GROUP
Authorized official
IVORY D BETHEA (DIRECTOR)
(704) 582-1793
Entity
Organization
Contact information
Practice address
2905 QUEEN CITY DR STE D, CHARLOTTE, NC 28208-2758
(704) 912-4505
Mailing address
2905 QUEEN CITY DR STE D, CHARLOTTE, NC 28208-2758
(704) 912-4505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up