Individual provider Active NPI

Mark Philip Cheltenham, M.D.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1114027588
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2007-00205 Issued in NC
Practice address
3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone
(919) 761-8693
NPI assigned
Sep 25, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD425741 PA
Psychiatry Physician 2084P0800X 2007-00205 NC Primary

Addresses

Primary practice location

3019 Falstaff Rd
Raleigh, NC 27610-1812

Mailing address

3020 Falstaff Rd
Raleigh, NC 27610-1813
Phone (919) 341-7182

Other identifiers 4

IdentifierTypeStateIssuer
5911546MedicaidNC
58606OtherBOARD CERTIFICATION ABPN
2007-00205OtherNCSTATE LICENSE
MD425741OtherPALICENSE NUMBER

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
I20100420000797 NC Practitioner - Psychiatry 9133121601 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holly Hill Hospital LLCGroup PAC ID 7810806650, 10 clinicians
Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians

Practice addresses (Care Compare)

3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone (919) 250-7000

3200 Waterfield Dr
Garner, NC 27529-7727
Phone (919) 502-1187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00205NCMDPsychiatry Physician
MD425741PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Springs Physician Group, LLC Psychiatry CurrentSince Mar 16, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Apr 10, 2020 Accepting new patients
Transformative Psychiatry PLLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 10, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 15, 2019 Accepting new patients
Holly Hill Hospital LLC Psychiatry CurrentSince Jan 20, 2024 Accepting new patients
Garner Behavioral Hospital, LLC CurrentSince Mar 9, 2024 Accepting new patients
Transformative Psychiatry PLLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Forsyth Memorial Hospital Inc CurrentSince Apr 10, 2020 Accepting new patients
NHCS Physicians Inc Psychiatry CurrentSince Oct 3, 2019 Accepting new patients
NHCS Physicians, Inc. CurrentSince Oct 3, 2019 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 10, 2020 Accepting new patients
Garner Behavioral Hospital, LLC Past Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

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

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

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

1350 Sunday Dr
#109
Raleigh, NC 27607
Phone (919) 746-8900

3019 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7000

3020 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7004

2301 Medpark Dr
Rocky Mount, NC 27804
Phone (252) 443-9500

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

140 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 718-3550

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: mcheltenham552481@directhisp.wakemed.org
  • Direct secure messaging: mcheltenham786111@direct.novanthealth.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1114027588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101813",
            "telephone_number": "919-341-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812",
            "telephone_number": "919-761-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELTENHAM",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD425741",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2007-00205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911546",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION ABPN",
            "identifier": "58606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2007-00205",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD425741",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.