Active NPI
Robert Eldridge Delozier, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2017009957
- Practice address
- 1530 Union Rd Ste a
Gastonia, NC 28054-2201 - Phone
- (704) 867-6188
- Fax
- (704) 866-4437
- NPI assigned
- Jun 20, 2017
- Last updated
- Mar 17, 2018
- 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 | 2017009957 | TN | Primary |
Addresses
Primary practice location
1530 Union Rd Ste a
Gastonia, NC 28054-2201
Mailing address
1530 Union Rd Ste a
Gastonia, NC 28054-2201
Phone (704) 867-6188
Other practice location 1
615 S Dekalb St
Shelby, NC 28150-6184
Phone (704) 480-1882
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2521 Raeford Rd
Suite B
Fayetteville, NC 28305-5750
Phone (910) 748-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017009957 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Care Psychological Services, PLLC | Current | Accepting new patients | |
| Phoenix Counseling Center | Past | Accepting new patients |
Locations
2521 Raeford Rd
Ste B
Fayetteville, NC 28305
Phone (910) 493-3555
3013A Raeford Rd
Fayetteville, NC 28303
Phone (910) 483-9001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Shannon, NC
- NPI 1104565407
-
- Community/Behavioral Health Agency
- Lincolnton, NC
- NPI 1396845004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093235137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 UNION RD STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542201",
"telephone_number": "704-867-6188",
"fax_number": "704-866-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 UNION RD STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542201",
"telephone_number": "704-867-6188",
"fax_number": "704-866-4437"
}
],
"practiceLocations": [
{
"address_1": "615 S Dekalb St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281506184",
"country_code": "US",
"telephone_number": "704-480-1882",
"fax_number": "704-480-1832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOZIER",
"first_name": "ROBERT",
"middle_name": "ELDRIDGE",
"credential": "MSN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "2017009957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Lesia Maria Delgado
- Jordan T Delk, PA-C
- Jennie Marie Dellinger, P.A.
- Samantha Joanna Faye Deloache, PHARM D
- Brent Delong, DDS
- Delta Healthcare Management (Heritage Oaks Assisted Living)
- Philip Joseph Deluca, LCSW
- Pauline Demonico, LCAS, CCS
- Julie Witcher Depalma, MD
- Derek J Eaton DDS PLLC (Carolina Oral & Maxillofacial Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.