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NPISignal

Individual Healthcare Provider

Cedric Dean, CPP

NPI Record: ActivePrevention Professional
NPI1114647013
Charlotte, North Carolina

Provider's NPPES record last updated: June 24, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1114647013
Primary Specialty
Prevention Professional
Practice Location
Charlotte, North Carolina
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:35 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Prevention Professional

    Other Service Providers

    Primary

    Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

    Taxonomy code 405300000X
  • Contractor

    Home Modifications

    Other Service Providers

    A contractor who makes modifications to homes to accommodate a health condition.

    Taxonomy code 171WH0202X
  • Public Health or Welfare

    Agencies

    Definition to come...

    Taxonomy code 251K00000X
  • Preferred Provider Organization

    Managed Care Organizations

    A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

    Taxonomy code 305R00000X

Provider-Reported License Information

Prevention Professional (North Carolina)
2021877201
Contractor (North Carolina)
2021877201
Public Health or Welfare (North Carolina)
2021877201
Preferred Provider Organization (North Carolina)
2021877201
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2001 Catherine Simmons Ave

Charlotte, North Carolina 28216-4677

Phone: (704) 492-1533

Additional Practice Location

1712 S Lafayette St

Shelby, North Carolina 28152-7151

Phone: (704) 492-5509

Record Information

Enumeration Date
August 31, 2022
Provider's NPPES Record Last Updated
June 24, 2024
Certification Date
June 24, 2024
NPISignal NPPES Dataset
August 2026

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