Individual provider Active NPI

Christopher Robert Myers, M.D.

  • Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1003905670
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200401547 Issued in NC
Practice address
3208 Oleander Dr
Wilmington, NC 28403-0800
Phone
(910) 794-3929
Fax
(910) 798-2303
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 28620 SC
Forensic Psychiatry Physician 2084F0202X 200401547 NC
Psychiatry Physician 2084P0800X 200401547 NC Primary
Psychiatry Physician 2084P0800X 28620 SC

Addresses

Primary practice location

3208 Oleander Dr
Wilmington, NC 28403-0800

Mailing address

PO Box 15511
Wilmington, NC 28408-5511
Phone (910) 262-7107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000790 NC Practitioner - Psychiatry 2365498466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Alliance for Mental Health, LLCGroup PAC ID 1254461965, 4 clinicians

Practice addresses (Care Compare)

3208 Oleander Dr
Wilmington, NC 28403-0800
Phone (910) 794-3829

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200401547NCMDForensic Psychiatry Physician
28620SCMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Wellness Coastal Group, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3208 Oleander Dr
Wilmington, NC 28403
Phone (910) 794-3829

5637 Carolina Beach Rd
Ste 15008
Wilmington, NC 28412

4421 Junction Park Dr
Ste 200
Wilmington, NC 28412
Phone (910) 530-3031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1003905670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15511",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085511",
            "telephone_number": "910-262-7107",
            "fax_number": "910-798-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030800",
            "telephone_number": "910-794-3929",
            "fax_number": "910-798-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "SC",
            "license": "28620",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NC",
            "license": "200401547",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200401547",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "28620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.