Carolina Chiropractic Group University PLLC
Chiropractor in Charlotte, NC. Organization (NPI-2).
NPI number1104780394
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1104780394
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Chiropractic Group University PLLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2025
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
8821 University East Dr Ste 120Charlotte, NC 28213-4364
Phone 704-428-9006 · Fax 704-710-8037
Mailing address
8821 University East DrCharlotte, NC 28213-4200
Phone 704-428-9006 · Fax 704-710-8037
Authorized official
Bradley Moffitt
Owner/Doctor
7044289006
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