Active NPI
H Wayne Tobin, M.D.
- Psychiatry Physician
- Fayetteville, NC
National Provider Identifier
1477619856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200000327
- Practice address
- 911 Hay St
Fayetteville, NC 28305-5313 - Phone
- (910) 438-0939
- Fax
- (910) 438-0942
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200000327 | NC | Primary |
Addresses
Primary practice location
911 Hay St
Fayetteville, NC 28305-5313
Mailing address
PO Box 1261
Fayetteville, NC 28302-1261
Phone (910) 826-3694
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891328C | Medicaid | NC | |
| 1328C | Other | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000327 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Care Treatment Systems, Inc-Beulaville | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients | |
| Sibley Medical Center | Past | Accepting new patients | |
| Integrated Behavioral Healthcare Services, PA | Psychiatry | Past | Accepting new patients |
| Alternative Care Treatments Systems, Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Beulaville, NC
- NPI 1346361482
-
- Community/Behavioral Health Agency
- Goldsboro, NC
- NPI 1558487421
-
- Psychologist
- Fayetteville, NC
- NPI 1689842551
Psychiatry
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Ridgeview Sibley Medical Center - Swing
- Medicare Defined Swing Bed Hospital Unit
- Arlington, MN
- NPI 1003876491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1477619856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1261",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283021261",
"telephone_number": "910-826-3694",
"fax_number": "910-826-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055313",
"telephone_number": "910-438-0939",
"fax_number": "910-438-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "H",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200000327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891328C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1328C",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.