Individual provider Active NPI

Hany Aziz Kaoud, M.D.

  • Psychiatry Physician
  • Winterville, NC
National Provider Identifier
1710169990
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200901680 Issued in NC
Practice address
154 Beacon Drive
Suite I
Winterville, NC 28590-7860
Phone
(252) 353-1114
Fax
(252) 353-1119
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200901680 NC Primary

Addresses

Primary practice location

154 Beacon Drive
Suite I
Winterville, NC 28590-7860

Mailing address

4300 Sapphire CT 110
Greenville, NC 27834-9079
Phone (252) 830-7561

Other identifiers 1

IdentifierTypeStateIssuer
5914592MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000752 NC Practitioner - Psychiatry 1951435635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easter Seals Ucp North Carolina and Virginia, Inc.Group PAC ID 7618161407, 49 clinicians

Practice addresses (Care Compare)

2602 Courtier Dr
Greenville, NC 27834-7818
Phone (252) 752-0483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200901680NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Port Health Services Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Dec 10, 2012 Accepting new patients
Port Health Services CurrentSince Jan 18, 2013 Accepting new patients
Port Health Services CurrentSince Jan 18, 2013 Accepting new patients
Big Holdings Inc Past Accepting new patients
Big Holdings Inc Past Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients

Locations

144 Community College Rd
#B
Ahoskie, NC 27910
Phone (252) 209-8932

102 Medical Dr
Ste Ab
Elizabeth City, NC 27909
Phone (252) 335-0803

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

2245 Stantonsburg Rd
Ste O
Greenville, NC 27834
Phone (252) 689-6524

215 Memorial Dr
Bldg B
Jacksonville, NC 28546
Phone (910) 378-2498

2901 N Herritage St
Ste B
Kinston, NC 28501
Phone (252) 233-2383

2808 S Croatan Hwy
Ste B
Nags Head, NC 27959
Phone (252) 441-2324

2224 S Croatan Hwy
Unit C
Nags Head, NC 27959
Phone (252) 441-2324

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

706 N Thompson St
Whiteville, NC 28472
Phone (910) 353-0109

154 Beacon Dr
Ste I
Winterville, NC 28590
Phone (252) 353-1114

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1710169990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAPPHIRE CT 110",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349079",
            "telephone_number": "252-830-7561",
            "fax_number": "252-413-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BEACON DRIVE",
            "address_2": "SUITE I",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907860",
            "telephone_number": "252-353-1114",
            "fax_number": "252-353-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOUD",
        "first_name": "HANY",
        "middle_name": "AZIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200901680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914592",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

Verify at the official NPI Registry.