Active NPI
Paul Garcia, MD
- Psychiatry Physician
- Washington, NC
National Provider Identifier
1487611935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200300342
- Practice address
- 628 E 12TH St
Washington, NC 27889-3409 - Phone
- (252) 975-4100
- Fax
- (252) 948-4829
- NPI assigned
- Apr 27, 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 | 200300342 | NC | Primary |
Addresses
Primary practice location
628 E 12TH St
Washington, NC 27889-3409
Mailing address
628 E 12TH St
Washington, NC 27889-3409
Phone (252) 975-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901962 | Medicaid | NC | |
| 140RP | Other | NC | BCBS NC |
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 |
|---|---|---|---|
| 200300342 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1487611935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 E 12TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893409",
"telephone_number": "252-975-4100",
"fax_number": "252-948-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 E 12TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893409",
"telephone_number": "252-975-4100",
"fax_number": "252-948-4829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200300342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901962",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "140RP",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.