Joanna Wolicki-Shannon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200001033 Issued in NC

Practice address

1305 North Queen Street
Kinston, NC 28501-1581

Phone

(252) 523-2781

Fax

(252) 523-2711

NPI assigned

Aug 8, 2006

Last updated

Oct 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Brody School of Medicine at East Carolina University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clientfirst of NC, LLCGroup PAC ID 7517099617, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Clientfirst of NC, LLC

  dba ClientFirst Behavioral Health

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1548582554

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Family Ties of Brunswick, LLC

  dba Family Ties Mental Health and Substance Abuse Counseling Services

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665
  Medicare reassignment NPD
• East Cove Psychiatric Services

  • Adolescent and Children Mental Health Clinic/Center
  • Kinston, NC
  • NPI 1558545806
  Authorized official Same address or phone
• East Cove Psychiatric Services PC

  • Adult Mental Health Clinic/Center
  • Kinston, NC
  • NPI 1801070719
  NPD
• Pathways to Life, Inc

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1982758215

  Psychiatry

  NPD
• Alternative Care Treatments Systems, Inc

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1558487421
  NPD (past)
• East Coast Rehab Partners, PLLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1356915797
  NPD (past)
• Eastpointe Human Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1306058524
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1245240969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 NORTH QUEEN STREET",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011581",
            "telephone_number": "252-523-2781",
            "fax_number": "252-523-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 NORTH QUEEN STREET",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011581",
            "telephone_number": "252-523-2781",
            "fax_number": "252-523-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLICKI-SHANNON",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Alfred Wisniewski, MD
• With a Purpose Family Care, Inc
• With a Purpose Family Care, Inc. (With A Purpose Family Care 2 Woody)
• WNB Enterprise LLC
• Gary Lee Wojeski, D.C.
• Womens Healthcare of Eastern Carolina PLLC
• Dominique Tishombra Wood
• Sammi Wood, DMD
• Linda Diane Woods, DIRECTOR
• Venita Wiley Wright-Blake, LMFT

• Psychiatry Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.

Verify at the official NPI Registry.