Individual provider Active NPI

Sarah Elizabeth Kirk Wilda, M.D.

  • Psychiatry Physician
  • Butner, NC
National Provider Identifier
1013479864
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2023-02108 Issued in NC
Practice address
Central Regional Hospital
300 Veazey Road
Butner, NC 27509
Phone
(919) 972-7459
Fax
(919) 493-8680
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 2023-02108 NC Primary

Addresses

Primary practice location

Central Regional Hospital
300 Veazey Road
Butner, NC 27509

Mailing address

Forensic Psychiatry Unc Chapel Hill Campus Box 7167
Chapel Hill, NC 27599-7167
Phone (919) 972-7459

Other names 1

  • Dr. Sarah Elizabeth Kirk Former name

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
I20231003000486 NC Practitioner - Psychiatry 0143688044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-02108NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Single Specialty CurrentSince Aug 21, 2023 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: swilda1037828@direct.unc.nchie.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1013479864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FORENSIC PSYCHIATRY UNC CHAPEL HILL CAMPUS BOX 7167",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997167",
            "telephone_number": "919-972-7459",
            "fax_number": "919-493-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL REGIONAL HOSPITAL",
            "address_2": "300 VEAZEY ROAD",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "27509",
            "telephone_number": "919-972-7459",
            "fax_number": "919-493-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDA",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH KIRK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2023-02108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KIRK",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butner, NC

Sources for this page

Verify at the official NPI Registry.