Active NPI
Casey J Scott, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5006507
- Practice address
- 1766 Metromedical Dr
Fayetteville, NC 28304-3861 - Phone
- (910) 426-6363
- Fax
- (910) 426-6364
- NPI assigned
- Sep 5, 2012
- Last updated
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5006507 | NC | Primary |
Addresses
Primary practice location
1766 Metromedical Dr
Fayetteville, NC 28304-3861
Mailing address
1766 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 426-6363
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5006507 | Other | NC | APRN |
| 3007634 | Other | KY | APRN |
| CNP241234 | Other | ME | APRN |
Other names 1
- Casey Callahan-Smith
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1766 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 426-6363
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haymount Institute for Psychological Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Haymount Institute for Psychological Services, PLLC | Current | Accepting new patients | |
| Mending Minds Behavioral Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1766 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 483-4680
4001 Cumberland Rd
Fayetteville, NC 28306
Phone (910) 426-6363
806 Hay St
Fayetteville, NC 28305
Phone 9108607008117
131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, NC
- NPI 1992255434
-
- Clinical Psychologist
- Fayetteville, NC
- NPI 1437320892
-
- Clinical Psychologist
- Concord, NC
- NPI 1316825656
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1417206491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 METROMEDICAL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043861",
"telephone_number": "910-426-6363",
"fax_number": "910-426-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 METROMEDICAL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043861",
"telephone_number": "910-426-6363",
"fax_number": "910-426-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CASEY",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5006507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "5006507",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "3007634",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "CNP241234",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "CALLAHAN-SMITH",
"credential": "APRN PMHNP-BC, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.