Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid Carolina Psychiatry, PA

Organization Psychiatry Physician · NPI 1477484863

Mid Carolina Psychiatry, PA provides Psychiatry Physician services in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 N Church St Unit 1015
Charlotte, NC 28202-2264
Phone: (704) 209-9470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1477484863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Logan — Owner · (704) 209-9470
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address210 N Church St Unit 1015, Charlotte, NC 28202-2264

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