Organization Active NPI

Albemarle Behavioral Medicine, PC

  • Psychiatry Physician
  • Elizabeth City, NC
National Provider Identifier
1124169263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NC9500212 Issued in NC
Legal business name
ALBEMARLE BEHAVIORAL MEDICINE, PC
Practice address
410 E Main St
Suite 202
Elizabeth City, NC 27909-4495
Phone
(252) 338-0121
Fax
(252) 338-0811
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barbara Ann Sawyer, MD
Title
Managing Partner
Phone
(252) 338-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X NC9500212 NC Primary

Addresses

Primary practice location

410 E Main St
Suite 202
Elizabeth City, NC 27909-4495

Mailing address

410 E Main St
Suite 202
Elizabeth City, NC 27909-4495
Phone (252) 338-0121

Other identifiers 1

IdentifierTypeStateIssuer
8910068MedicaidNC

National Provider Directory

National Provider Directory

Locations

410 E Main St
Ste 202
Elizabeth Cty, NC 27909
Phone (252) 338-0121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124169263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094495",
            "telephone_number": "252-338-0121",
            "fax_number": "252-338-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094495",
            "telephone_number": "252-338-0121",
            "fax_number": "252-338-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBEMARLE BEHAVIORAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "252-338-0121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "NC9500212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910068",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.