Individual provider Active NPI

Connie L Calvert, DO

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1770757775
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
160643 Issued in NC
Practice address
725 Highland Ave
Winston Salem, NC 27101-4206
Phone
(336) 607-8523
NPI assigned
Apr 22, 2008
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 160643 NC Primary
Psychiatry Physician 2084P0800X 34009069 OH

Addresses

Primary practice location

725 Highland Ave
Winston Salem, NC 27101-4206

Mailing address

115 Surrey Path CT
Winston Salem, NC 27104-5037
Phone (336) 760-7764

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address integratedcare@direct.daymarkrecovery.nextgenshare.com Direct Daymark Recovery Services Inc

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
I20100720000644 NC Practitioner - Psychiatry 5799848032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
West Virginia School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

1104 A S Main St
Lexington, NC 27292-3134
Phone (336) 242-2450

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

650 Highland Ave
Winston Salem, NC 27101-4367
Phone (336) 955-8430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160643NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Nov 1, 2019 Accepting new patients
Associates in Intelligent Psychiatry PLLC Psychiatry CurrentSince Jul 3, 2019 Accepting new patients
Daymark Recovery Services, Inc. Psychiatry CurrentSince Jun 21, 2010 Accepting new patients
Daymark Recovery Servcies Inc Psychiatry Past Accepting new patients

Locations

806 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 298-1699

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

1104B S Main St
Lexington, NC 27292
Phone (336) 300-8826

1400 Willow Ln
North Wilkesboro, NC 28659
Phone (336) 667-5151

335 County Home Rd
Reidsville, NC 27320
Phone (336) 725-8389

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

318 Turnersburg Hwy
Statesville, NC 28625
Phone (704) 872-8916

650 Highland Ave
Ste 100
Winston Salem, NC 27101
Phone (866) 275-9552

650 Highland Ave
Ste 120
Winston Salem, NC 27101
Phone (336) 713-6111

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: ccalvert2753994@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: connie.calvert.p1@direct.daymarkrecovery.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1770757775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SURREY PATH CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045037",
            "telephone_number": "336-760-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HIGHLAND AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014206",
            "telephone_number": "336-607-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "CONNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "160643",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34009069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "integratedcare@direct.daymarkrecovery.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Daymark Recovery Services Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "284 Executive Park Dr",
            "address_2": "Suite 100",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280251831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.