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Impact Carolina Services

Psychiatry Physician in Gastonia, NC · enumerated 2013 · authorized official Joseph Adedokun, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629311063

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Carolina Services
Practice address 1552 Union Rd, Suite C, Gastonia, NC, 28054
Fax (704) 852-9211
Enumeration date Apr 4, 2013
Last updated in NPPES Apr 4, 2013

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 795 (NC) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C002728 (NC) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License NC 93-00472 (NC) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5004878 (NC) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5004910 (NC) Secondary

Authorized official

Name Joseph Adedokun
Title Ceo

Other identifiers

Identifier Type State Issuer
5004910 Medicaid NC -
6003129 Medicaid NC -
891036Y Medicaid NC -
5004878 Medicaid NC -
6111767 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Impact Carolina Services?
NPPES lists Joseph Adedokun (Ceo) as the authorized official for this organization.
What is the NPI number for Impact Carolina Services?
The NPI for Impact Carolina Services is 1629311063, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-04.