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DOUGLAS ALAN WALDREP MD NPI 1164517751


NPI Information

NPI: 1164517751
Provider Name: DOUGLAS ALAN WALDREP, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Organization: NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC

PECOS Registration: Yes

Address:
2131 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 667-7000
Get Directions

Douglas Alan Waldrep, MD is a child and adolescent psychiatry psychiatry neurology in Wilmington, NC with 36 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Douglas Alan Waldrep, MD NPI is 1164517751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

2131 S 17TH ST
WILMINGTON, NC
ZIP 28401-407
Phone: (910) 667-7000
Fax: (910) 815-5850

The NPI 1164517751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Shock treatment and monitoring (HCPCS:90870)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 5/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry2006-01911NORTH CAROLINANo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry2006-01911NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.