Individual provider Active NPI

Krishna Murari Verma, M.D.

  • Psychiatry Physician
  • Wilson, NC
National Provider Identifier
1164517447
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38707 Issued in NC
Practice address
1810 Westwood Ave W
Psychological Medicine Clinic, PLLC
Wilson, NC 27893-2143
Phone
(252) 291-6200
Fax
(252) 291-2147
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 38707 NC Primary

Addresses

Primary practice location

1810 Westwood Ave W
Psychological Medicine Clinic, PLLC
Wilson, NC 27893-2143

Mailing address

1810 Westwood Ave
Psychological Medicine Clinic, PLLC
Wilson, NC 27893-2143
Phone (252) 291-6200

Other identifiers 2

IdentifierTypeStateIssuer
138E8OtherNCBCBSNC
8985003MedicaidNC

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
I20041206000136 NC Practitioner - Psychiatry 6406812270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1810 Westwood Ave W
Wilson, NC 27893-2143
Phone (252) 291-6200

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Medicine Clinic PLLC CurrentSince Aug 20, 2004 Accepting new patients
Wilson Greene Mental Health Past Accepting new patients

Locations

1810 Westwood Ave W
Wilson, NC 27893
Phone (252) 237-1012

Interoperability endpoints

  • Direct secure messaging: krishna.verma@direct.pmcpllc.nchie.net

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 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1164517447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WESTWOOD AVE",
            "address_2": "PSYCHOLOGICAL MEDICINE CLINIC, PLLC",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932143",
            "telephone_number": "252-291-6200",
            "fax_number": "252-291-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WESTWOOD AVE W",
            "address_2": "PSYCHOLOGICAL MEDICINE CLINIC, PLLC",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932143",
            "telephone_number": "252-291-6200",
            "fax_number": "252-291-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "KRISHNA",
        "middle_name": "MURARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "38707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "138E8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.