Carolina Concussion & Physical Medicine, PLLC
NPI 1124544499 · Rehabilitation Chiropractor · Wake Forest, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolina Concussion & Physical Medicine, PLLC is a Rehabilitation Chiropractor organization in Wake Forest, NC (NPI 1124544499).
Provider details
- NPI number
- 1124544499
- Entity type
- Organization
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Decriscio, Member(301) 922-6188
- License
- 4670 (NC)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-18
- Last updated
- 2018-05-20
Frequently asked questions
- What is Carolina Concussion & Physical Medicine, PLLC's NPI number?
- Carolina Concussion & Physical Medicine, PLLC's National Provider Identifier (NPI) is 1124544499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Concussion & Physical Medicine, PLLC?
- Carolina Concussion & Physical Medicine, PLLC is classified in the NPPES registry as Rehabilitation Chiropractor (Chiropractic Providers).
- Where is Carolina Concussion & Physical Medicine, PLLC located?
- Carolina Concussion & Physical Medicine, PLLC's practice location on file with NPPES is 120 Capcom Aveune, Wake Forest, NC 27587.
- What is Carolina Concussion & Physical Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Carolina Concussion & Physical Medicine, PLLC is (301) 922-6188.
- Does Carolina Concussion & Physical Medicine, PLLC accept Medicare?
- Carolina Concussion & Physical Medicine, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Carolina Concussion & Physical Medicine, PLLC?
- The authorized official listed on Carolina Concussion & Physical Medicine, PLLC's NPPES record is Michael Decriscio, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Concussion & Physical Medicine, PLLC's NPI active?
- Yes — Carolina Concussion & Physical Medicine, PLLC's NPI (1124544499) is active in the NPPES registry as of the last update on 2018-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.