Robert Gentry Byrd, MSW, M.DIV.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003662 Issued in NC

Practice address

114 Highland Ave
Fayetteville, NC 28305-5306

Phone

(910) 484-0176

Fax

(910) 484-5781

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Carenet, Inc.

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1043424013
  Medicare reassignment Care Compare group NPD
• Carenet, Inc

  • Professional Counselor
  • Lexington, NC
  • NPI 1659946804
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1508995465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HIGHLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055306",
            "telephone_number": "910-484-0176",
            "fax_number": "910-484-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HIGHLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055306",
            "telephone_number": "910-484-0176",
            "fax_number": "910-484-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ROBERT",
        "middle_name": "GENTRY",
        "credential": "MSW, M.DIV.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2876775A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "134HM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D3196",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002808",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Christopher Butts, PHARM.D.
• Gerald Alfred Bynum, PAC
• Jazzmine Danielle Byrd, BT
• Kelsey Byrd
• Monica Latreece Byrd, LCSWA
• Teresa Jean Byrne, DPT
• Byron McDonald Inc.
• Charisse Sloane-Seale Byron, LCSW
• Helina Mesele Bzuayehu, MD
• C & T Community Services

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.

Verify at the official NPI Registry.