Active NPI
Sravanthi Utpala, MD
- Psychiatry Physician
- Greenville, NC
National Provider Identifier
1174050140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2021-01137
- Practice address
- 905 Johns Hopkins Dr
Greenville, NC 27834-2056 - Phone
- (252) 744-1406
- Fax
- (252) 744-2419
- NPI assigned
- May 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2021-01137 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 2021-01137 | NC |
Addresses
Primary practice location
905 Johns Hopkins Dr
Greenville, NC 27834-2056
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728003083 | NC | Practitioner - Psychiatry | 1355611526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Charlotte-Mecklenburg Hospital Authority
Practice addresses (Care Compare)
380 Copperfield Blvd NE
Concord, NC 28025-2402
Phone (704) 403-1800
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01137 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Psychiatry | Current | Accepting new patients |
Locations
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
380 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 262-1800
Interoperability endpoints
- sutpala3021108@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 8
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.
-
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- NPI 1669738829
NC
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- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
- Pediatrics Physician
- Concord, NC
- NPI 1588091904
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1982079802
-
- Internal Medicine Physician
- Rock Hill, SC
- NPI 1306269691
-
- Child & Adolescent Psychiatry Physician
- Concord, NC
- NPI 1063849420
Psychiatry
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1174050140",
"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": [],
"basic": {
"last_name": "UTPALA",
"first_name": "SRAVANTHI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-22",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2021-01137",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NC",
"license": "2021-01137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.