Jeremy Landvater, M.D, M.B.A.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2020-02931 Issued in NC

Practice address

905 Johns Hopkins Dr
Greenville, NC 27834-2056

Phone

(252) 744-1406

Fax

(252) 744-2419

NPI assigned

Jan 6, 2016

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, TN2 enrollments

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 2

Specialty

Psychiatry

Education

Texas Tech University Health Science Center School of Medicine, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Olive Tree Family Counseling, PLLCGroup PAC ID 3274979612, 11 clinicians

East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlandvater138638@capefearvalley.direct-ci.com
• Direct secure messaging: jlandvater513491@direct.ecuhealth.com

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.

• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment Care Compare group NPD
• Olive Tree Family Counseling, PLLC

  • Marriage & Family Therapist
  • New Bern, NC
  • NPI 1922693977
  Medicare reassignment Care Compare group NPD
• Carteret County General Hospital Corporation

  dba Carteret General Hospital

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Medicare reassignment NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357
  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Animo Sano Psychiatry PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1568043537

  TN

  Medicare reassignment
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474

  Psychiatry

  NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1285090381",
    "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": "LANDVATER",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D, M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-02931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlandvater513491@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "905 Johns Hopkins Dr",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eurgia Charles Land, MD
• Chaney Landgraf
• Kaitlyn Landis
• Amanda Estella Landry, MS, CRC
• Dante L Landucci, MD
• Lane and Associates XLV DDS PA
• Elizabeth Overman Lane, RN
• Mary Patricia Lane, MSW, BT
• Winston Earl Lane III, M.D.
• David Brian Lang, PA-C

• Psychiatry Physician in Greenville, NC
• Providers in Greenville, 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 Jul 25, 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.

Verify at the official NPI Registry.