Active NPI
Keri Danielle Metcalf, M.D.
- Psychiatry Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2019-02319
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-8000
- NPI assigned
- May 6, 2016
- Last updated
- Aug 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2019-02319 | NC | Primary |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-0351
Other practice location 1
Cherry Hospital
1401 West Ash Street
Goldsboro, NC 27530-1078
Phone (919) 947-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770939993 | Medicaid | NC |
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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-02319 | NC | MD | Psychiatry Physician |
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Psychiatry | Current | Accepting new patients |
| Wakemed Specialists Group, LLC | Current | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
111 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 882-6590
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- kmetcalf421900@directhisp.wakemed.org
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
dba WakeMed - Virtual Cardiac Rehab
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1194389643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1770939993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "919-350-0351",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101231",
"telephone_number": "919-350-8000"
}
],
"practiceLocations": [
{
"address_1": "Cherry Hospital",
"address_2": "1401 West Ash Street",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275301078",
"country_code": "US",
"telephone_number": "919-947-7000",
"fax_number": "919-705-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METCALF",
"first_name": "KERI",
"middle_name": "DANIELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2019-02319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770939993",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Janice Hong Messier, M.D.
- Christopher James Messina Sr., PH.D.
- Kristin Whitney Messina, OTD, OTR/L
- Mitchell Meszaros, MS, ATC, LAT, CES
- Cayleigh Metcalf, LCMHCA
- Method Manual Physical Therapy and Wellness LLC (Method PT)
- Esther Bosede Metiko, NP
- Olasunkanmi Metiko, PHYSICIAN ASSISTANT
- Olushola Jones Metiko, MD
- Olivia Metrione, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.