Impact Carolina Services
NPI 1629311063ActiveOrganization· Psychiatry & Neurology, Psychiatry· Gastonia, NC
Psychiatry & Neurology, Psychiatry in Gastonia, North Carolina, registered in NPPES in April 2013. The authorized official on file is Joseph Adedokun, PH.D., Ceo.
Overview
| NPI | 1629311063 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2013 |
| Last updated in NPPES | Apr 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | NC 93-00472 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 795 | NC |
| Social Worker, Clinical | 1041C0700X | C002728 | NC |
| Nurse Practitioner | 363L00000X | 5004878 | NC |
| Nurse Practitioner, Adult Health | 363LA2200X | 5004910 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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