Active NPI
Irene Savvas Pastis, M.D.
- Psychiatry Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2017-01229
- Practice address
- 905 Johns Hopkins Dr
Greenville, NC 27834-2056 - Phone
- (252) 744-1406
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- 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 | 2017-01229 | NC | Primary |
Addresses
Primary practice location
905 Johns Hopkins Dr
Greenville, NC 27834-2056
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other practice location 1
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-2272
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCY651A | Other | NC | MEDICARE |
| 19QW0 | Other | NC | BCBS OF NC |
| 1508123795 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY, IL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
250 Pkwy Dr
Suite 150
Lincolnshire, IL 60069-4340
Phone (833) 351-8255
555 Fayetteville St
Suite 201
Raleigh, NC 27601-3034
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
Locations
250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346
555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
Interoperability endpoints
- ipastis40065@direct.ecuhealth.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1508123795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 JOHNS HOPKINS DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342056",
"telephone_number": "252-744-1406"
}
],
"practiceLocations": [
{
"address_1": "2100 Stantonsburg Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342818",
"country_code": "US",
"telephone_number": "252-744-2272",
"fax_number": "252-744-1926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASTIS",
"first_name": "IRENE",
"middle_name": "SAVVAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2017-01229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NCY651A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19QW0",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508123795",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.