Genesis Health Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GENESIS HEALTH SERVICES

Practice address

11725 Broadfield CT
Raleigh, NC 27617-4255

Phone

(919) 848-0132

NPI assigned

May 17, 2012

Last updated

May 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

India Reid, MDNPI 1922114628

Title

Ceo

Phone

(919) 848-0132

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• India F. Reid, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Raleigh, NC
  • NPI 1922114628
  Authorized official Same address or phone

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1336409945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WIND CHIME CT",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156461",
            "telephone_number": "919-848-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 BROADFIELD CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174255",
            "telephone_number": "919-848-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-848-0132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Gemmell, OTR/L
• James Scott Gemmill, D.O.
• Rachel Blum Genaway, OTR/L
• Eddie Vacentae General II
• Generosity Transportation LLC
• Genesis Two
• Genesisdwiservices
• Krista Lee Gengo Gajeski, M.A., BCBA, LBA
• Genoa Healthcare LLC
• Genoa Healthcare LLC

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, 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 May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.