EVERGREEN PSYCHIATRY GROUP PLLC NPI 1700698164

NPI Information

  • NPI: 1700698164
  • Provider Name: EVERGREEN PSYCHIATRY GROUP PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 717 GREEN VALLEY RD STE 200
    GREENSBORO, NC
    ZIP 27408
  • Phone: (743) 222-9755

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NPI Details

EVERGREEN PSYCHIATRY GROUP PLLC is a mental health (including community mental health center) clinic center in Greensboro, NC. EVERGREEN PSYCHIATRY GROUP PLLC NPI is 1700698164. The provider is registered as an organization entity type.

The provider's business location address is:

717 GREEN VALLEY RD STE 200
GREENSBORO, NC
ZIP 27408-156
Phone: (743) 222-9755

The provider's authorized official is Mariam Nantang .
The authorized official title is Owner and has the following contact phone number (743) 222-9755.

The enumeration date for this NPI number is 1/23/2025 and was last updated on 1/23/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2261QM1300XClinic/CenterMulti-SpecialtyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 11/21/2025

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