Viswanathan Swaminathan, M.D.,DFAPA
Individual provider Active NPI Psychiatry Physician · Plymouthy, NC
NPI 1376568550 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1376568550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 22636 (NC)
- Practice address
- 804.Washington Street
Vidant Behaviour Health,
Plymouthy, NC 27962 - Phone
- (252) 793-1154
- Fax
- (252) 793-3860
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vidant Medical Group LLC
Practice addresses (Care Compare)
210 W Liberty St
Williamston, NC 27892-1712
Phone (252) 792-5151
Hospital & facility affiliations
- Ecu Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070921000563 | NC | Practitioner - Psychiatry | 5294828109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22636 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Results Independent Living Services Inc | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Albemarle Mental Health Center | Past | Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
123 E Water St
Plymouth, NC 27962
Phone (252) 793-6500
804 Washington St
Plymouth, NC 27962
Phone (252) 793-1154
206 E Water St
Plymouth, NC 27962
Phone (252) 791-0900
1308 Highland Dr
Washington, NC 27889
Phone (252) 946-3666
210 W Liberty St
Williamston, NC 27892
Phone (252) 792-5151
Interoperability endpoints
- vswaminathan14879@direct.vidanthealth.com
- vswaminathan14879@direct.ecuhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22636 | NC | Yes |
Addresses
Primary practice location
804.Washington Street
Vidant Behaviour Health,
Plymouthy, NC 27962
Mailing address
719.West 15TH. Street ,Suite-11
Eastcoast Psychiatric Services
Washington, NC 27889
Phone (252) 974-1331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22636 | Other | NC | MEDICAL LICENSE AS A PHYS |
| 8981128 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vswaminathan14879@direct.vidanthealth.com |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.