Individual provider Active NPI

Thomas R Sneed, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1073551040
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
017047 Issued in ME
Practice address
Central Prison
1300 Western Blvd
Raleigh, NC 27606-2770
Phone
(207) 931-9293
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 017047 ME Primary

Addresses

Primary practice location

Central Prison
1300 Western Blvd
Raleigh, NC 27606-2770

Mailing address

1155 Lisbon St
Lewiston, ME 04240-5025
Phone (207) 783-9141

Other identifiers 1

IdentifierTypeStateIssuer
154420000MedicaidME

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
I20180703003287 NC Practitioner - Psychiatry 3577550193 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017047MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Springs Physician Group, LLC Psychiatry CurrentSince Apr 24, 2018 Accepting new patients
Spurwink Services Incorporated CurrentSince Mar 17, 2025 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Mar 3, 2020 Accepting new patients
Advance Community Health, Inc CurrentSince Mar 3, 2020 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

1155 Lisbon St
Lewiston, ME 04240

143 Pottle Rd
Oxford, ME 04270
Phone (207) 743-7911

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

10901 World Trade Blvd
Raleigh, NC 27617
Phone (919) 272-1026

Organizations & group practices 8

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1073551040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405025",
            "telephone_number": "207-783-9141",
            "fax_number": "207-783-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL PRISON",
            "address_2": "1300 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062770",
            "telephone_number": "207-931-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEED",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "017047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154420000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.