Individual provider Active NPI

Deborah McMullan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
National Provider Identifier
1427878495
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020107 Issued in NC
Practice address
920 Copperfield Blvd NE
Concord, NC 28025-2433
Phone
(980) 701-9900
Fax
(659) 242-4993
NPI assigned
Oct 15, 2024
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 5020107 NC Primary

Addresses

Primary practice location

920 Copperfield Blvd NE
Concord, NC 28025-2433

Mailing address

4523 Collingham Dr
Charlotte, NC 28273-0150
Phone (706) 267-6812

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
I20250121001326 NC Practitioner - Nurse Practitioner 6103355110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care of North Carolina PCGroup PAC ID 4486036878, 19 clinicians
Golson Family ServicesGroup PAC ID 2466861018, 2 clinicians

Practice addresses (Care Compare)

3250 Homestead Club Dr
Winston Salem, NC 27103-6787
Phone (718) 506-1115

920 Copperfield Blvd NE
Concord, NC 28025-2433
Phone 9802588657207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golson Family Services CurrentSince Nov 1, 2024 Accepting new patients
Step Up Care of North Carolina PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

920 Copperfield Blvd NE
Concord, NC 28025
Phone (980) 258-8657

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1427878495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 COLLINGHAM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730150",
            "telephone_number": "706-267-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252433",
            "telephone_number": "980-701-9900",
            "fax_number": "659-242-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "DEBORAH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5020107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.