Individual provider Active NPI

Diana Hunter-Eldridge, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grover, NC
National Provider Identifier
1346948478
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017712 Issued in NC
Practice address
134 Watterson Rd
Grover, NC 28073-9575
Phone
(301) 288-5126
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407880 NY
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2022093560 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017712 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29806 SC

Addresses

Primary practice location

134 Watterson Rd
Grover, NC 28073-9575

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Other practice location 1

17232 Lancaster Hwy
Charlotte, NC 28277-2002
Phone (704) 544-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230420001248 NC Practitioner - Nurse Practitioner 8729443056 Reassigns benefits to 4 organizations
I20250803000117 CO Practitioner - Nurse Practitioner 8729443056 Reassigns benefits to 1 organization
I20251217000240 NY Practitioner - Nurse Practitioner 8729443056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Brightside Medical of New Jersey PCGroup PAC ID 5799141750, 61 clinicians
Thriveworks Clinical - North Carolina PCGroup PAC ID 8527471200, 109 clinicians

Practice addresses (Care Compare)

1212 Spruce St
Suite 315
Belmont, NC 28012-3386
Phone (704) 865-3848

3064 Wake Forest Rd
Suite 1271
Raleigh, NC 27609-7844
Phone (415) 360-3348

8406 Six Forks Rd
Suite 104
Raleigh, NC 27615-3075
Phone (919) 424-6045

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022093560NCMDPsychiatric/Mental Health Nurse Practitioner
5017712NCMDPsychiatric/Mental Health Nurse Practitioner
407880NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Feb 17, 2024 Accepting new patients
Caromont Medical Group Inc Single Specialty Current Accepting new patients
Caromont Medical Group Inc CurrentSince Feb 17, 2024 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Dec 24, 2024 Accepting new patients
Notary & Things, LLC Single Specialty Past Accepting new patients
Broadview Health, PA Psychiatric/Mental Health PastSince Aug 1, 2021 Accepting new patients
Extension Training of NC, LLC Single Specialty PastSince Nov 1, 2023 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1212 Spruce St
Ste 315
Belmont, NC 28012
Phone (704) 461-8253

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1346948478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WATTERSON RD",
            "city": "GROVER",
            "state": "NC",
            "postal_code": "280739575",
            "telephone_number": "301-288-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17232 Lancaster Hwy",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772002",
            "country_code": "US",
            "telephone_number": "704-544-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER-ELDRIDGE",
        "first_name": "DIANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407880",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2022093560",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017712",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "29806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grover, NC

Sources for this page

Verify at the official NPI Registry.