Individual provider Active NPI

Asia Danyell Mabry, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1730954199
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5019060 Issued in NC
Practice address
2719 Graves Dr Ste 5
Goldsboro, NC 27534-4536
Phone
(919) 330-4367
NPI assigned
Nov 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5019060 NC Primary

Addresses

Primary practice location

2719 Graves Dr Ste 5
Goldsboro, NC 27534-4536

Mailing address

105 Parrish Dr
Pikeville, NC 27863-9381
Phone (919) 394-5498

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002687 NC Practitioner - Nurse Practitioner 1254777659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clientfirst of NC, LLCGroup PAC ID 7517099617, 8 clinicians

Practice addresses (Care Compare)

2719 Graves Dr
Suite 5
Goldsboro, NC 27534-4536
Phone (919) 330-4367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LMV Counseling, PLLC Psychiatric/Mental Health CurrentSince Jan 20, 2025 Accepting new patients
Clientfirst of NC, LLC Psychiatry CurrentSince Jan 17, 2024 Accepting new patients
Mindscape Psychiatry, PLLC CurrentSince Dec 15, 2024 Accepting new patients
Go Inward, PLLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

2719 Graves Dr
Ste 5
Goldsboro, NC 27534
Phone (919) 330-4367

3806 Park Ave
Unit 1
Wilmington, NC 28403
Phone (910) 408-2068

5919 Oleander Dr
Ste 121
Wilmington, NC 28403
Phone (910) 210-6160

Organizations & group practices 4

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1730954199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PARRISH DR",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278639381",
            "telephone_number": "919-394-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 GRAVES DR STE 5",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344536",
            "telephone_number": "919-330-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ASIA",
        "middle_name": "DANYELL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.