Individual provider Active NPI

Connor Moss Belson, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1801478516
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2022-02305 Issued in NC
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

Updated by the provider on Aug 5, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 17 clinicians

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

LicenseStateTypeSpecialty
2022-02305NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advaita Integrated Medicine PLLC Psychiatry CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.