Elizabeth Johnson Sumner, MD, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2016-00062 Issued in NC

Practice address

300 Veazey Rd
Central Regional Hospital
Butner, NC 27509

Phone

(919) 764-2000

NPI assigned

Mar 27, 2013

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Bradley Johnson Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1356684443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VEAZEY RD",
            "address_2": "CENTRAL REGIONAL HOSPITAL",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "27509",
            "telephone_number": "919-764-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VEAZEY RD",
            "address_2": "CENTRAL REGIONAL HOSPITAL",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "27509",
            "telephone_number": "919-764-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "ELIZABETH",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2016-00062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JOHNSON",
            "middle_name": "BRADLEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Allen Stewart, MSW, LCSW
• Gay G Strickland, M.D.
• Erika Stroughton
• Devon Tre Suitt, LCSWA
• Laura Sullivan
• Katherine Sunder, PSY.D.
• Prathima Surapaneni, MD
• Londyn Swann, PSY.D.
• Elizabeth Taber, PHARMD
• Jeffrey Lewis Teal, RPH

• Psychiatry Physician in Butner, NC
• Providers in Butner, 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 Sep 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.