Complete Care Psychiatry PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COMPLETE CARE PSYCHIATRY PLLC

Practice address

5540 Centerview Dr Ste 204
Raleigh, NC 27606-8012

Phone

(704) 477-0944

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Quintina Petty, NPNPI 1851862734

Title

President

Phone

(704) 477-0944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quintina B Petty, FNP

  • Family Nurse Practitioner
  • Shelby, NC
  • NPI 1851862734

  SC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1295561587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068012",
            "telephone_number": "704-477-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068012",
            "telephone_number": "704-477-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "QUINTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-477-0944",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Care Services
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• Carli Shayne Compton, DMD
• Elizabeth Claire Compton, AGNP

• Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.