George Patrick Corvin, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

97-00519 Issued in NC

Practice address

5530 Munford Road
Suite 119
Raleigh, NC 27612-2638

Phone

(919) 782-9554

Fax

(919) 782-9130

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 7, 2014 through Mar 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• North Raleigh Psychiatry, PA

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1073610119
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1710070982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 MUNFORD ROAD",
            "address_2": "SUITE 119",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122638",
            "telephone_number": "919-782-9554",
            "fax_number": "919-782-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 MUNFORD ROAD",
            "address_2": "SUITE 119",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122638",
            "telephone_number": "919-782-9554",
            "fax_number": "919-782-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORVIN",
        "first_name": "GEORGE",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NC",
            "license": "97-00519",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "97-00519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Correia, M.S. CCC-SLP
• Gretchen Ruth Correll, OT
• Christina Lyn Corrigan
• Patrick R Corrigan
• Kathryn Corso
• Karen Wierwille Corvin, MD
• Clark C. Corwin, LCSW
• Meghan Barbara Costa, D.P.T.
• Nicholas Costantini
• Isabel Monique Costantino

• Forensic Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Forensic Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.