Individual provider Active NPI

Viswanathan Swaminathan, M.D.,DFAPA

  • Psychiatry Physician
  • Plymouthy, NC
National Provider Identifier
1376568550
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22636 Issued in 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
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22636 NC Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vswaminathan14879@direct.vidanthealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000563 NC Practitioner - Psychiatry 5294828109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

210 W Liberty St
Williamston, NC 27892-1712
Phone (252) 792-5151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22636NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Results Independent Living Services Inc CurrentSince Jul 31, 2012 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 1, 2011 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

206 E Water St
Plymouth, NC 27962
Phone (252) 791-0900

804 Washington St
Plymouth, NC 27962
Phone (252) 793-1154

1308 Highland Dr
Washington, NC 27889
Phone (252) 946-3666

210 W Liberty St
Williamston, NC 27892
Phone (252) 792-5151

Interoperability endpoints

  • Direct secure messaging: vswaminathan14879@direct.ecuhealth.com
  • Direct secure messaging: vswaminathan14879@direct.vidanthealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1376568550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719.WEST 15TH. STREET ,SUITE-11",
            "address_2": "EASTCOAST PSYCHIATRIC SERVICES",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "27889",
            "telephone_number": "252-974-1331",
            "fax_number": "252-974-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804.WASHINGTON STREET",
            "address_2": "VIDANT BEHAVIOUR HEALTH,",
            "city": "PLYMOUTHY",
            "state": "NC",
            "postal_code": "27962",
            "telephone_number": "252-793-1154",
            "fax_number": "252-793-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAMINATHAN",
        "first_name": "VISWANATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,DFAPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "22636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vswaminathan14879@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.