Organization Active NPI

Repay, Inc.

  • Psychologist
  • Morganton, NC
National Provider Identifier
1194945709
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2549 Issued in NC
Legal business name
REPAY, INC.
Practice address
420 W Fleming Dr
Suite C
Morganton, NC 28655-3966
Phone
(828) 438-6218
Fax
(828) 439-2340
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Melissa Renee Lewis
Title
Executive Director
Phone
(828) 438-6218

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2549 NC Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0370 NC
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0370 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C006909 NC
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

420 W Fleming Dr
Suite C
Morganton, NC 28655-3966

Mailing address

PO Box 2423
Morganton, NC 28680-2423
Phone (828) 438-6218

Other identifiers 2

IdentifierTypeStateIssuer
6006021MedicaidNC
017X7OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090730000154 NC Part B Supplier - Clinic/Group Practice 4486707031 Receives reassigned benefits from 1 practitioner
Practice locations: Morganton, NC

National Provider Directory

National Provider Directory

Locations

202 Patterson St
Morganton, NC 28655
Phone (828) 438-6218

420 W Fleming Dr
Ste C
Morganton, NC 28655
Phone (828) 438-6218

Practitioners & affiliated clinicians

Practitioners 7

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1194945709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2423",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286802423",
            "telephone_number": "828-438-6218",
            "fax_number": "828-439-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W FLEMING DR",
            "address_2": "SUITE C",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553966",
            "telephone_number": "828-438-6218",
            "fax_number": "828-439-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-438-6218"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2549",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "0370",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "0370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006909",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006021",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "017X7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.