Individual provider Active NPI

Edward James Visnaw, MD

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1770165425
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2022-02369 Issued in NC
Practice address
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone
(984) 974-5217
NPI assigned
Apr 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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 2022-02369 NC Primary

Addresses

Primary practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Mailing address

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-5217

Other practice location 1

4245 N Central Expy Ste 300
Dallas, TX 75205-4569
Phone (972) 532-9968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250815003500 TX Practitioner - Psychiatry 2163831967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smart Neuro Health and Wellness Professionals Texas PAGroup PAC ID 8921401829, 15 clinicians
Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

4245 N Central Expy
Suite 300
Dallas, TX 75205-4569
Phone (469) 225-0245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022-02369NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bent Tree Psychiatric Assoc Psychiatry CurrentSince Sep 22, 2025 Accepting new patients
Smart Neuro Health & Wellness Professionals Texas PA CurrentSince Sep 22, 2025 Accepting new patients

Locations

1604 Hospital Pkwy
Ste 407
Bedford, TX 76022
Phone (469) 379-8222

4245 N Central Expy
Ste 300
Dallas, TX 75205
Phone (972) 532-9968

4245 N Central Expy
Ste 450
Dallas, TX 75205
Phone (469) 379-8222

8604 Greenville Ave
Ste 201
Dallas, TX 75243
Phone (214) 775-0099

11550 Fuqua St
Ste 560
Houston, TX 77034
Phone (281) 922-7333

5300 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 440-9543

1820 Preston Park Blvd
Ste 2500
Plano, TX 75093

6839 Communications Pkwy
Plano, TX 75024
Phone (469) 379-8222

Interoperability endpoints

  • Direct secure messaging: evisnaw726310@direct.unc.nchie.net

Organizations & group practices 2

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1770165425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144220",
            "telephone_number": "984-974-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4245 N Central Expy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752054569",
            "country_code": "US",
            "telephone_number": "972-532-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISNAW",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2022-02369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.