Individual provider Active NPI

Jennie Byrne, MD, PHD

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1194947259
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
59654 Issued in TN
Practice address
643 Rock Creek Rd
Chapel Hill, NC 27514-6714
Phone
(919) 428-5154
Fax
(919) 910-5488
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 145081 NC
Psychiatry Physician 2084P0800X 59654 TN Primary
Psychologist 103T00000X 59654 TN
Prescribing (Medical) Psychologist 103TP0016X 145081 NC

Addresses

Primary practice location

643 Rock Creek Rd
Chapel Hill, NC 27514-6714

Mailing address

643 Rock Creek Rd
Chapel Hill, NC 27514-6714
Phone (919) 428-5154

Other names 1

  • Dr. Jennie Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000810 MA Practitioner - Psychiatry 8426122748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59654TNMDPsychologist
145081NCMDAdult Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Mercury Newco Inc Adult Mental Health CurrentSince Apr 22, 2025 Accepting new patients
Cognitive Psychiatry of Chapel Hill Psychiatry Past Accepting new patients
Carelon Medical Partners of Arizona, P.C. Past Accepting new patients
Archdale Medical Associates PA Past Accepting new patients

Locations

584 Market St
Ste 17462
San Francisco, CA 94104

580 Harrison Ave
Ste 2B
Boston, MA 02118
Phone (224) 622-5470

Interoperability endpoints

  • Direct secure messaging: jennie.byrne@550128338010116.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1194947259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 ROCK CREEK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146714",
            "telephone_number": "919-428-5154",
            "fax_number": "919-910-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 ROCK CREEK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146714",
            "telephone_number": "919-428-5154",
            "fax_number": "919-910-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "JENNIE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "145081",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "59654",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "59654",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NC",
            "license": "145081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.