Individual provider Active NPI

Sevdalina Metodieva Dabova-Missova, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Greenville, NC
National Provider Identifier
1104831072
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
2024-00056 Issued in NC
Practice address
905 Johns Hopkins Dr
Greenville, NC 27834-2056
Phone
(252) 744-1406
Fax
(252) 744-2419
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46703 MN
Addiction Medicine (Family Medicine) Physician 207QA0401X ME137661 FL
Psychiatry Physician 2084P0800X 2024-00056 NC
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 2024-00056 NC Primary

Addresses

Primary practice location

905 Johns Hopkins Dr
Greenville, NC 27834-2056

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Other practice location 1

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone (904) 376-3800

Other identifiers 1

IdentifierTypeStateIssuer
430034300MedicaidMN

Other names 1

  • Lina M Missova Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdabovamissova499939@direct.ecuhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040922000049 MN Practitioner - Family Practice 5799753315 Reassigns benefits to 1 organization
I20200910001532 FL Practitioner - Addiction MedicinePractitioner - Family Practice 5799753315
I20250211002578 NC Practitioner - Psychiatry 5799753315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians

Practice addresses (Care Compare)

905 Johns Hopkins Dr
Greenville, NC 27834-2056
Phone (252) 744-1406

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Merit-based Incentive Payment System (MIPS)

Final score
89.95 of 100Reported as group
Quality
84.69
Promoting interoperability
100
Improvement activities
40
Cost
74.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137661FLMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2008 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2008 Accepting new patients
East Carolina University Family Medicine Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
East Carolina University Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Southern Baptist Hospital of Florida Inc Past Accepting new patients

Locations

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

905 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 744-1406

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1104831072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342056",
            "telephone_number": "252-744-1406",
            "fax_number": "252-744-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Prudential Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABOVA-MISSOVA",
        "first_name": "SEVDALINA",
        "middle_name": "METODIEVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46703",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME137661",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2024-00056",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "2024-00056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430034300",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdabovamissova499939@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "905 Johns Hopkins Dr",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "MISSOVA",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.