Active NPI
Ravenodell William Garrity, PMHNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5023238
- Practice address
- 2525 Court Dr
Gastonia, NC 28054-2140 - Phone
- (704) 834-2000
- NPI assigned
- Apr 21, 2023
- Reactivated
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5023238 | NC | Primary |
Addresses
Primary practice location
2525 Court Dr
Gastonia, NC 28054-2140
Mailing address
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000
Other practice location 1
23 Union St N
Concord, NC 28025-4726
Phone (828) 456-7311
Other practice location 2
262 LeRoy George Dr
Clyde, NC 28721-7430
Phone (980) 374-1252
Other names 1
- William Garrity
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 452-8651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5023238 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundry Psychiatric Associates | Psychiatric/Mental Health | Current | Accepting new patients |
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
23 Union St N
Ste B
Concord, NC 28025
Phone (980) 925-0852
98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Cardiovascular Disease
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
-
- Psychiatric/Mental Health Nurse Practitioner
- Concord, NC
- NPI 1679447106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1023705688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542140",
"telephone_number": "704-834-2000",
"fax_number": "704-671-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 COURT DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542140",
"telephone_number": "704-834-2000"
}
],
"practiceLocations": [
{
"address_1": "23 Union St N",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280254726",
"country_code": "US",
"telephone_number": "828-456-7311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "262 LeRoy George Dr",
"address_purpose": "LOCATION",
"city": "Clyde",
"state": "NC",
"postal_code": "287217430",
"country_code": "US",
"telephone_number": "980-374-1252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRITY",
"first_name": "RAVENODELL",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PMHNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"deactivation_date": "2025-09-29",
"reactivation_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5023238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "GARRITY",
"credential": "PMHNP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.