Individual provider Active NPI

Macquinton Vinson

  • Psychiatric/Mental Health Nurse Practitioner
  • Colerain, NC
National Provider Identifier
1063294445
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023100674 Issued in NC
Practice address
1026 Meadow Rd
Colerain, NC 27924-9004
Phone
(252) 565-6676
NPI assigned
Oct 19, 2023
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023100674 NC Primary

Addresses

Primary practice location

1026 Meadow Rd
Colerain, NC 27924-9004

Mailing address

6045 Kentworth Dr
Holly Springs, NC 27540-7670
Phone (252) 565-6676

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606000439 NC Practitioner - Nurse Practitioner 5799227724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023100674NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Psychiatric Providers Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Telos Health Systems NC PLLC Single Specialty CurrentSince Apr 13, 2024 Accepting new patients
NMG Health Services LLC CurrentSince Jun 14, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Single Specialty Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Jun 14, 2025 Accepting new patients

Locations

915 Pee Dee Rd
Aberdeen, NC 28315
Phone (910) 690-1373

3200 Waterfield Dr
Garner, NC 27529
Phone (919) 502-1187

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • Direct secure messaging: mvinson1700065@direct.novanthealth.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1063294445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 KENTWORTH DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407670",
            "telephone_number": "252-565-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 MEADOW RD",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279249004",
            "telephone_number": "252-565-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "MACQUINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2023100674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colerain, NC

Sources for this page

Verify at the official NPI Registry.