Active NPI
Connor Moss Belson, MD
- Psychiatry Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2022-02305
- Practice address
- 4904 Professional CT
Raleigh, NC 27609-4969 - Phone
- (919) 893-4465
- Fax
- (800) 860-8126
- NPI assigned
- Apr 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 2022-02305 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | RTL21-0109 | NC |
Addresses
Primary practice location
4904 Professional CT
Raleigh, NC 27609-4969
Mailing address
6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (919) 364-2494
Other practice location 1
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-5217
Other practice location 2
6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (919) 364-2494
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251017000523 | NC | Practitioner - Psychiatry | 1153730940 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advaita Integrated Medicine PLLC
Practice addresses (Care Compare)
6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (919) 893-4465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02305 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advaita Integrated Medicine PLLC | Psychiatry | Current | Accepting new patients |
| Advaita Health Ventures LLC | Past | Accepting new patients |
Locations
4904 Professional Ct
Raleigh, NC 27609
Phone (919) 893-4465
6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870
6124 Saint Giles St
Raleigh, NC 27612
Phone (919) 893-4465
Interoperability endpoints
- cbelson169929@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.
-
- Clinic/Center
- Raleigh, NC
- NPI 1497413009
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": "1785888000000",
"number": "1801478516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 SAINT GILES ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276127043",
"telephone_number": "919-364-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 PROFESSIONAL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094969",
"telephone_number": "919-893-4465",
"fax_number": "800-860-8126"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "984-974-5217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6112 Saint Giles St",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276127043",
"country_code": "US",
"telephone_number": "919-364-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELSON",
"first_name": "CONNOR",
"middle_name": "MOSS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-22",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2022-02305",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "RTL21-0109",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.