Active NPI
Fortis Behavioral Group PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Lumberton, NC
National Provider Identifier
1467300475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- FORTIS BEHAVIORAL GROUP PLLC
- Practice address
- 4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146 - Phone
- (910) 536-1719
- Fax
- (910) 668-8048
- NPI assigned
- Mar 17, 2026
- Last updated
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deana Holland Flynn, PMHNP
- Title
- Organizing Member
- Phone
- (910) 536-1719
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146
Mailing address
4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146
Phone (910) 536-1719
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lumberton, NC
- NPI 1356080683
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1467300475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 FAYETTEVILLE RD STE A",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582146",
"telephone_number": "910-536-1719",
"fax_number": "910-668-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 FAYETTEVILLE RD STE A",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582146",
"telephone_number": "910-536-1719",
"fax_number": "910-668-8048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTIS BEHAVIORAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "DEANA",
"authorized_official_middle_name": "HOLLAND",
"authorized_official_title_or_position": "ORGANIZING MEMBER",
"authorized_official_telephone_number": "910-536-1719",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
- Shelley Paige Foil, PHARM D
- Samuel Florian Fongue Fongue, MD
- Foot and Ankle Institute of Robeson County
- Austin-John Fowler Fordham, MD
- Thomas Raleigh Forrest Jr., DC
- Fortis Behavioral Health
- Peter Thomas Fortkort, MD
- Katharine Nicole Foster, DNP, APRN, FNP, ENP
- Fountain6 Investment Company LLC (Twin Oaks Pharmacy)
- Dora R Franzoni, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.