Organization Active NPI

Sevenhill Associates PA

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1457404295
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEVENHILL ASSOCIATES PA
Practice address
5318 NC Highway 55 Ste 206
Durham, NC 27713-9660
Phone
(919) 544-4300
Fax
(919) 544-7676
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. David Bailey Jarrett, MDNPI 1558438648
Title
President
Phone
(919) 544-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5318 NC Highway 55 Ste 206
Durham, NC 27713-9660

Mailing address

5318 NC Highway 55 Ste 206
Durham, NC 27713-9660
Phone (919) 544-4300

Other identifiers 2

IdentifierTypeStateIssuer
891065GMedicaidNC
1065GOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051123000084 NC Part B Supplier - Clinic/Group Practice 5294755039 Receives reassigned benefits from 3 practitioners
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

1365 Westgate Center Dr
Ste L1
Winston Salem, NC 27103
Phone (336) 448-4451

1365 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 619-2680

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1457404295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 NC HIGHWAY 55 STE 206",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139660",
            "telephone_number": "919-544-4300",
            "fax_number": "919-544-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 NC HIGHWAY 55 STE 206",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139660",
            "telephone_number": "919-544-4300",
            "fax_number": "919-544-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENHILL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-544-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891065G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1065G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.