K'netha Meshun Faggart, is a
Peer Specialist based in Concord, North Carolina. K'netha Meshun Faggart is licensed to practice in North Carolina (license number ) and her current practice location is
517 Debra Cir Sw, Concord, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(980) 331-4031.
NPI number for K'netha Meshun Faggart is 1245194141 and her current mailing address is 8500 Amethyst Ln Nw Apt 11210, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245194141.
Healthcare Provider's Profile
| Full Name | K'netha Meshun Faggart |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 517 Debra Cir Sw, Concord, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245194141
- Provider Enumeration Date: 12/15/2025
- Last Update Date: 12/15/2025
Medical Identifiers
Medical identifiers for K'netha Meshun Faggart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245194141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (North Carolina) | Secondary |
| 175T00000X | Peer Specialist | (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. K'netha Meshun Faggart is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
K'netha Meshun Faggart, 8500 Amethyst Ln Nw Apt 11210, Charlotte, NC 28262-5074 Ph: (980) 331-4031 | K'netha Meshun Faggart, 517 Debra Cir Sw, Concord, NC 28025-8992 Ph: (980) 331-4031 |
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