Organization Active NPI

Avant Medical Consulting PLLC

  • Psychiatry Physician
  • New Bern, NC
National Provider Identifier
1568002608
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AVANT MEDICAL CONSULTING PLLC
Practice address
109 Rosegarten CT
New Bern, NC 28562-1016
Phone
(330) 531-5210
NPI assigned
Jan 7, 2020
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Jordan Clifton Spellman, MDNPI 1770993917
Title
MD, Owner
Phone
(330) 531-5210

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

109 Rosegarten CT
New Bern, NC 28562-1016

Mailing address

109 Rosegarten CT
New Bern, NC 28562-1016
Phone (330) 531-5210

Other identifiers 1

IdentifierTypeStateIssuer
2017-01903OtherNCMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608003010 NC Part B Supplier - Clinic/Group Practice 7719314574 Receives reassigned benefits from 1 practitioner
Practice locations: New Bern, NC

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1568002608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ROSEGARTEN CT",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285621016",
            "telephone_number": "330-531-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ROSEGARTEN CT",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285621016",
            "telephone_number": "330-531-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT MEDICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "330-531-5210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "2017-01903",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.