Individual provider Active NPI

Geoffrey Craig Zeger, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1134298904
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000854 Issued in NC
Practice address
4004 Ben Franklin Blvd
Durham, NC 27704-2138
Phone
(919) 479-1600
Fax
(919) 479-5551
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Clinical Social Worker 1041C0700X C000854 NC Primary

Addresses

Primary practice location

4004 Ben Franklin Blvd
Durham, NC 27704-2138

Mailing address

4004 Ben Franklin Blvd.
Suite 230
Durham, NC 27704
Phone (919) 479-1600

Other identifiers 2

IdentifierTypeStateIssuer
6002693MedicaidNC
2878627AOtherMEDICARE PTAN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831000082 NC Practitioner - Clinical Social Worker 3577538834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahb Center for Behavioral Health and Wellness, PLLCGroup PAC ID 8123247178, 3 clinicians
Psychiatric and Psychological Associates of Durham, PLLCGroup PAC ID 4587631130, 13 clinicians

Practice addresses (Care Compare)

3326 Durham Chapel Hill Blvd
Durham, NC 27707-6201
Phone (919) 410-8090

4004 Ben Franklin Blvd
Durham, NC 27704-2138
Phone (919) 479-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000854NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric & Psychological Associates of Durham, PLLC Clinical CurrentSince Jul 1, 2020 Accepting new patients
Ahb Center for Behavioral Health and Wellness, PLLC Multi-Specialty CurrentSince Feb 20, 2014 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Clinical PastSince Aug 15, 2004 Accepting new patients

Locations

4004 Ben Franklin Blvd
Ste 230
Durham, NC 27704

4004 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 471-5474

3326 Durham Chapel Hill Blvd
Bldg D
Durham, NC 27707
Phone (919) 401-8090

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1134298904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 BEN FRANKLIN BLVD.",
            "address_2": "SUITE 230",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-479-1600",
            "fax_number": "919-479-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042138",
            "telephone_number": "919-479-1600",
            "fax_number": "919-479-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGER",
        "first_name": "GEOFFREY",
        "middle_name": "CRAIG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002693",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2878627A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.