Individual provider Active NPI

Isabelle Hamori Eustice, MD

  • Psychiatry Physician
  • Salisbury, NC
National Provider Identifier
1821021080
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200201356 Issued in NC
Practice address
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone
(704) 210-5061
Fax
(704) 210-5337
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200201356 NC Primary

Addresses

Primary practice location

612 Mocksville Ave
Salisbury, NC 28144-2732

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 210-5061

Other practice location 1

327 1st Ave NW
Hickory, NC 28601-6122
Phone (828) 695-5900

Other practice location 2

90 Southside Ave Ste 350
Asheville, NC 28801-4184
Phone (828) 277-4810

Other identifiers 3

IdentifierTypeStateIssuer
H27638OtherNYNC UPIN
132YAOtherNCNC BCBS
89132YAMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ieustice776701@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100316000995 NC Practitioner - PsychiatryPractitioner - Neurology 1052446093 Reassigns benefits to 4 organizations
I20200114003612 MA Practitioner - Psychiatry 1052446093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Tulane University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-0500

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1524NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Feb 10, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 8, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Aug 29, 2023 Accepting new patients
The Mental Health Fund Inc Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 24, 2021 Accepting new patients
The Mental Health Fund Inc CurrentSince May 29, 2019 Accepting new patients
Hallmark Health System Inc Psychiatry CurrentSince Aug 29, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 15, 2020 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Feb 10, 2020 Accepting new patients
Geriatric Consultants PLLC CurrentSince Aug 19, 2023 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc Psychiatry CurrentSince Sep 15, 2020 Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Dec 24, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Lifestream Behavioral Center Inc Past Accepting new patients

Locations

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

327 1st Ave NW
Hickory, NC 28601
Phone 82869559002540

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

210 Smith Church Rd
Ste B
Roanoke Rapids, NC 27870
Phone (252) 535-8870

1385 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 537-9176

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

581 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-8146

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811

Interoperability endpoints

  • Direct secure messaging: ieustice97548@tuftsmedicine.direct-ci.com
  • Direct secure messaging: ieustice251990@direct.bilh.masshiway.net
  • Direct secure messaging: ieustice776701@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1821021080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-210-5061",
            "fax_number": "704-210-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442732",
            "telephone_number": "704-210-5061",
            "fax_number": "704-210-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 1st Ave NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286016122",
            "country_code": "US",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Southside Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014184",
            "country_code": "US",
            "telephone_number": "828-277-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUSTICE",
        "first_name": "ISABELLE",
        "middle_name": "HAMORI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200201356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC UPIN",
            "identifier": "H27638",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "132YA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132YA",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ieustice776701@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "90 Southside Ave Ste 350",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288014184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.