Active NPI
Connie L Calvert, DO
- Psychiatry Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 160643
- Practice address
- 725 Highland Ave
Winston Salem, NC 27101-4206 - Phone
- (336) 607-8523
- NPI assigned
- Apr 22, 2008
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 160643 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Associates in Intelligent Psychiatry PLLC | Psychiatry | Current | Accepting new patients |
| Daymark Recovery Services, Inc. | Psychiatry | Current | 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
- ccalvert2753994@carolinashealthcaresystem.direct-ci.com
- 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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Psychiatry Physician
- Greensboro, NC
- NPI 1538620604
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1790807535
Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba High Point Regional
- General Acute Care Hospital
- High Point, NC
- NPI 1396746228
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
- Kathryn E. Callahan, M.D.
- Kasey Elizabeth Callaway, PA
- Robin Giddens Callaway, CRNA
- Aimee Nicole Callicutt, MS, NCC, LCMHC, LCAS
- Ryan Matthew Calpin, AGACNP-BC
- Joseph Hayes Calvert, DO
- Jessica Nicole Camacho Leal, BCBA, LBA
- Gabriel Enrique Cambronero, MD
- Camel City Chiropractic PLLC
- Camel City Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.