Gary G Bawtinhimer, M.D.
Individual provider Active NPI Psychiatry Physician · Ayden, NC
NPI 1699772103 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699772103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Practice address
- 3675 Rountree Rd
Ayden, NC 28513-8749 - Phone
- (252) 414-9072
- Fax
- (252) 439-0269
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000023997 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Mental Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NC | Yes |
Addresses
Primary practice location
3675 Rountree Rd
Ayden, NC 28513-8749
Mailing address
3675 Rountree Rd
Ayden, NC 28513-8749
Phone (252) 414-9072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13941 | Other | NC | BCBS NC |
| 8913941 | Medicaid | NC |
Other providers in Ayden, NC
- Ola Alrokh
- Ambucare Medical Transport
- Articulate Minds and Innovative Solutions, PLLC
- Alexis Nicole Askew
- At Home Care Sweetmore Drive
- Julie Beck
- Bio-Medical Applications of North Carolina, Inc.
- Daryl Patrick Bourgeois
- Alyssa Grace Bourget
- Tracey Walston Bowen
All providers in Ayden, NC · Psychiatry Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.