Individual provider Active NPI

Erica Elise Herman, M.D.

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1275827990
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2013-01488 Issued in NC
Practice address
104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556
Phone
(336) 722-7266
Fax
(336) 201-0538
NPI assigned
May 31, 2011
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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 2013-01488 NC Primary

Addresses

Primary practice location

104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556

Mailing address

104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556
Phone (336) 722-7266

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
I20140326002009 NC Practitioner - Psychiatry 0749411254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mood Treatment Center, PLLCGroup PAC ID 6103068598, 12 clinicians

Practice addresses (Care Compare)

1901 Adams Farm Pkwy
Greensboro, NC 27407-6338
Phone (336) 722-7266

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mood Treatment Center, PLLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Wellmood PLLC Psychiatry PastSince Jan 1, 2024 Accepting new patients

Locations

1901 Adams Farm Pkwy
Greensboro, NC 27407
Phone 336722726623208

104 Cambridge Plaza Dr
Winston Salem, NC 27104
Phone (333) 722-7266

1615 Polo Rd
Winston Salem, NC 27106
Phone 33672272662304

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1275827990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CAMBRIDGE PLAZA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043556",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CAMBRIDGE PLAZA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043556",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "ERICA",
        "middle_name": "ELISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2013-01488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.