Individual provider Active NPI

Susan Donna Ross- Webb, M.D.

  • Psychiatry Physician
  • Carrboro, NC
National Provider Identifier
1457374597
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01428 Issued in NC
Practice address
200 N Greensboro St Ste D7
Carrboro, NC 27510-1833
Phone
(919) 448-4498
Fax
(919) 929-3952
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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 01428 NC Primary

Addresses

Primary practice location

200 N Greensboro St Ste D7
Carrboro, NC 27510-1833

Mailing address

200 N Greensboro St Ste D7
Carrboro, NC 27510-1833
Phone (919) 448-4498

Other identifiers 1

IdentifierTypeStateIssuer
5911074MedicaidNC

Other names 1

  • Susan Donna Webb Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom House Recovery Center, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1457374597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N GREENSBORO ST STE D7",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101833",
            "telephone_number": "919-448-4498",
            "fax_number": "919-929-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GREENSBORO ST STE D7",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101833",
            "telephone_number": "919-448-4498",
            "fax_number": "919-929-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS- WEBB",
        "first_name": "SUSAN",
        "middle_name": "DONNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "01428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911074",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WEBB",
            "middle_name": "DONNA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.