Individual provider Active NPI

Deana Holland Flynn, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1356080683
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017032 Issued in NC
Practice address
4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146
Phone
(910) 563-1719
Fax
(910) 668-8048
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017032 NC Primary

Addresses

Primary practice location

4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146

Mailing address

4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146
Phone (910) 574-1719

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116001815 NC Practitioner - Nurse Practitioner 1254709694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

220 Wintergreen Dr
Suite B
Lumberton, NC 28358-2188
Phone (910) 536-1719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017032NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fortis Behavioral Health Psychiatric/Mental Health CurrentSince Oct 11, 2022 Accepting new patients
Fortis Behavioral Group PLLC Psychiatry Current Accepting new patients

Locations

4904 Fayetteville Rd
Ste A
Lumberton, NC 28358
Phone (910) 536-1719

220 Wintergreen Dr
Ste B
Lumberton, NC 28358
Phone (910) 536-1719

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1356080683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 FAYETTEVILLE RD STE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582146",
            "telephone_number": "910-574-1719",
            "fax_number": "910-668-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 FAYETTEVILLE RD STE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582146",
            "telephone_number": "910-563-1719",
            "fax_number": "910-668-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DEANA",
        "middle_name": "HOLLAND",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.